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Qualification Profile

Please tell us more about yourself by completing the following confidential “Qualification Profile.” Once you submit it, you will have immediate access to a Business Plan and additional due diligence resources to investigate starting your own recruiting business, specializing in high-growth industries like healthcare, further.

If you have questions, don’t hesitate to call us at 866-366-9990.


Mr./Ms./Mrs./Dr.:  
First Name:  
Last Name:  
Address:  
City:  
State:  
Zip Code:  
Phone:
Alt Phone:
Email:
Please Summarize your sales/business experience:
(200 words or less)
In which business or industries do you have the most experience?
(200 words or less)
Rate your level of
business experience:
   (10 being the highest)
Rate your personal verbal communications skills:   (10 being the highest)
Rate your PC
and Internet Skills:
   (10 being the highest)
Ever owned your own business? Rate it's financial success:   (10 being the highest)
Are you currently employed?  
Do you plan to make this a Full or Part-Time Venture?  
If Part-Time, on average how many Hours Per Week?  
What are your first and second year income goals?
Are you fully funded for your program of choice?
At this time, rank your level of interest in our program:   (10 being the highest)
Are you interested in speaking to an existing member?
Please enter any specific questions that you may have:
(200 words or less)
I have read, understand, and agree to the Career Agents Network Confidentiality Agreement.