Candidate Screening/Medical Equipment

Please attach your resume in word format (.doc):
Date:
Candidate:
Cellular number:
Willing to relocate:Yes No
Degree:
Bachelors Advanced
Major:

GPA:
Driving record, how many speeding tickets in the last 18 mos?
Have you ever been convicted of a DWI or DUI?Yes NoIf yes, when?
Why pharmaceutical sales?
Are you currently employed?
Yes No
If yes, who is your current employer:
What is your current position (what are you selling and who are you selling to):
What is the current territory that you cover?
If in sales what percentage of plan are you at?
%
When does fiscal year
start
end:
How many sales people on sales force?
Where do you rank?

Nationally:
Regionally:

Do you have copies of performance reviews? Yes No What was your over all performance rating?
Do you have a brag book?
Yes No
If yes, what does it include? (check all that apply)
Stack Rankings
Performance Reviews
Awards
Letters of Recommendation
Have you ever interviewed for a pharmaceutical sales opportunity?Yes No
If yes, when and with what companies?Date of interview:
Name of Company:
Current base salary:
$
Bonus/commission potential:
$
I am a citizen of the USA
3 Names and number of references:


Please list 3 strengths:Please list 3 areas of development:
1.1.
2.2.
3.3.