SMART Form - Quartz Submittal Questionnaire

    Contact Information


    Client and Position Information

    1. Has another company already submitted you for this position?*

    2. If you answered No to the question above, do you grant Smart Solutions permission to submit you for this position?*

    3. Have you ever worked as an employee at Quartz before?*
    If yes, please list Dates of Employment, Role, Department, Manager, and Reason for Leaving:

    4. Have you ever worked as an contractor at Quartz before?*
    If yes, please list Dates of Employment, Role, Department, Manager, and Reason for Leaving:

    5. Have you applied directly to Quartz within the last 12 months? If yes, what position(s)?*

    6. In a paragraph or two, tell us about your experience as it relates to the position description.*

    7. Based on the responsibilities and requirements listed in the job posting, why do you think you would be the best fit for this role?*

    8. Describe why are you interested in working in this position at Quartz?*

    9. Describe a time you took the initiative to get something done even though it wasn’t “your responsibility.”*

    10. Describe a time when you’ve had to work with someone who had a different approach/communication/workstyle/personality from your own that was causing more conflict than you would’ve liked. How did you “bridge the gap?”*

    11. How would your current/former coworkers describe you?*

    12. Culture and core values are a high priority at Quartz. What are your core values?*

    13. Please list other active applications/interviews you have in process.*

    14. What work location(s) will you consider (check all that apply):*

    100% onsite at client officeHybrid (dependent on client expectations)100% remote100% remote with occasion travel as needed (dependent on client expectations)

    15. What is your earliest availability to start, if selected?*

    Work History Review

    Provide the following information for each role listed on your resume: Main role, department structure (i.e. how many team members, how was work delegated/shared/split, etc.), what you liked an didn't like about the job, and why you left or are looking to leave that role.

    Role 1*

    Role 2*

    Role 3*

    If applicable, please list all additional experience not outlined above.

    Work Authorization

    Are you legally authorized to work in the US?*


    Type of Visa

    Expiration Date

    Military Service

    Have you ever served in the U.S. Armed Forces?*


    Branch of Service

    Discharge Date


    Prior Offenses

    Have you ever been convicted of, plead guilty / no contest to, or had a suspended imposition of sentence for any offense (other than a minor traffic violation)?*


    If Yes, explain:

    Criminal Charges

    Do you have any criminal charges pending against you?*


    If Yes, explain:

    Note: A conviction or pending charge will not necessarily exclude you from consideration. This information will be used only for job-related purposes and only to the extent permitted by law.

    Other Information

    Month/Day of Birth (Please use MM/DD format)*

    Who is your Career Advisor?*

    Read carefully before submitting!

    I understand that employment offers may be contingent on the satisfactory completion of the following: reference checks, background checks, an office of foreign assets check, employment eligibility verification, and/or drug test, in order to satisfy the needs of our clients.

    Smart Solutions, Inc. is an equal opportunity employer. Smart Solutions, Inc. does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

    I hereby certify that the facts set forth in the above Submittal Questionnaire are true and complete to the best of my knowledge. I understand that falsified statements of any kind or omissions of facts called for on this form, or on my resume, shall be considered sufficient basis for the denial of employment or immediate dismissal.

    Do you certify?*