Recruiting Form
First and Last Name*
Valid Email Address*
Phone Number*
Alt Phone #
Best Contact Time*
Area of Interest*
Atlanta
Baton Rouge
Bay Area
Charleston
Dallas
Fort Myers
Fort Wayne
Grand Rapids
Houston
Indianapolis
Jacksonville
Lansing
Lafayette
Naples
Nashville
New Orleans
Sarasota
South Valley
Tallahassee
City*
State*
Zip*
Closest Major Crossroads*
Upload Resumé (Optional)
Do you have sales experience?*
Yes
No
If Yes; How many years and in what field?*
What background do you come from?*
Why do you feel you would make a
good fit for this sales position?*
1st Preferred Job Site*
EmploymentGuide.com
Beyond.com
SnagAJob.com
Job.com
Indeed.com
SimplyHired.com
Monster.com
Yahoo.com
CareerBuilder.com
Craigslist.org
2nd Preferred Job Site*
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?*
Advertisement
Email/Newsletter
Facebook
Family/Friend
Magazine Article
Newspaper Story
TV/Cable News
Twitter
Search Engine
YouTube
Personal Recruit
Other
Full or Part Time*
Full Time
Part Time
What weekly income
are you looking for?*
$100-$300
$300-$500
$500-$800
$800-$1000
$1000+
Are you looking for
a job, or a career?*
Job
Career
Please explain
your answer*
Are you Bilingual?*
Yes
No
If Yes, What language(s)?*
Can you work weekends,
evenings, and some holidays?*
Yes
No
If 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?*
iPhone
Android
Other
No
Do you own reliable
transportation?*
Yes
No
Year*
Make*
Model*
Can you pass a drug test?*
Yes
No
If No, Why?*
Do you have any misdemeanors?*
Yes
No
If Yes, What & how long ago?*
Do you have any felonies?*
Yes
No
If Yes, What & how long ago?*
Please share with us any additional
information about yourself
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