Recruiting Form
First and Last Name *
Campaign
Valid Email Address *
Best Phone Number to contact you *
Alt Phone #
Best time to contact you *
--Select One--
Morning
Afternoon
Evening
Area of Interest *
--Select One--
Bay Area
South Valley
Fort Myers
Jacksonville
Naples
Sarasota
Atlanta
Fort Wayne
Indianapolis
Baton Rouge
Grand Rapids
Lansing
Saginaw
Cincinnati
Cleveland
Charleston
Dallas
City *
State *
--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip *
Closest Major Crossroads*
Upload Resumé (Optional)
Do you have sales experience? *
Yes
No
How many years sales experience
total and in what field? *
What kind of background
do you come from?*
This is a sales position and
why do you feel you
would make a good fit? *
1st Preferred Job Site *
--Select One--
EmploymentGuide.com
Beyond.com
SnagAJob.com
Job.com
Indeed.com
SimplyHired.com
Monster.com
Yahoo.com
CareerBuilder.com
Craigslist.org
2nd Preferred Job Site *
--Select One--
EmploymentGuide.com
Beyond.com
SnagAJob.com
Job.com
Indeed.com
SimplyHired.com
Monster.com
Yahoo.com
CareerBuilder.com
Craigslist.org
Other
If Other, what site? *
How did you hear about us? *
--Select One--
Advertisement
Email/Newsletter
Facebook
Family/Friend
Magazine Article
Newspaper Story
TV/Cable News
Twitter
Search Engine
YouTube
Personal Recruit
Other
Full or Part Time *
--Select One--
Full Time
Part Time
What weekly income are you looking for? *
--Select One--
$100-$300
$300-$500
$500-$800
$800-$1000
$1000+
Are you looking for
a job, or a career? *
--Select One--
Job
Career
Please explain your answer *
Are you Bilingual? *
--
Yes
No
What language(s)? *
Can you work weekends/evenings/
and some holidays? *
--
Yes
No
What days and
times can you work? *
Can you stand for 5
hours or more at a time? *
--
Yes
No
Do you have a Smart Phone? *
--Select One--
iPhone
Android
Other
No
Do you own reliable transportation? *
--
Yes
No
Year
Make
Model
Can you pass a drug test? *
--
Yes
No
Why are you unable
to pass a drug test? *
Do you have any misdemeanors? *
--
Yes
No
What misdemeanors and how long ago? *
Do you have any felonies? *
--
Yes
No
If Yes, How long ago? *
Please share with us any
additional information
about yourself *