Sales Representative

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Please take five minutes to complete this form. From there we will reach out to you within 24 hours. Thanks!

What is your first name? *

What is your last name? *

What is your best email address?
*

What is your cell phone number?
*

What city are you in?
*

What state are you in?
*

Did you attend the Zoom Call Overview today?
*

Yes

Other:

What were 1-3 things that intrigued you about this opportunity?
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What makes you feel you'd succeed in this specific sales position?
*

What has been your most relevant work experience compared to the opportunities explained today? Please provide the position title and what your day to day job was like.
*

What is the most important thing to you while looking for a new career opportunity?
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On a scale from 1-10, how interested are you in our sales career opportunity?
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We are growing quickly and are looking to hire like-minded people. Do you know anyone who would be interested in interviewing with us?
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Yes

Do you have your own form of reliable vehicle transportation, and a valid drivers license?
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Yes

How soon would you be looking to start assuming our next meeting went well?
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Immediately!

I have to put my two weeks in.

I understand that during one-on-one interviews between Seniors Home Services and myself I may be given information reasonably deemed to be Confidential (“Confidential Information”). By submitting this questionnaire, I agree to not disclose nor use this Confidential Information for any purpose except for determining whether I believe that a potentially forthcoming offer to become an independent sales representative for Seniors Home Services is an opportunity I wish to pursue. These restrictions and obligations will continue for two (2) years after termination of my involvement in Seniors Home Services interview process, or, with respect to Confidential Information that is a trade secret, until such information no longer constitutes a trade secret under applicable law.

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