| First Name: |
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| Last Name: |
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| Age Range: |
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| E-mail Address: |
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What would you
do with an extra
$1,000 each month?
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Pay extra mortgage payments. |
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Pay for my children's education. |
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How many children?: |
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Pay off credit card debt. |
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Buy a new car. |
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Other:
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What about you makes you feel like you are a good candidate for our program?
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My previous employment |
| How long ago? How many years?: |
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| What position or job?: |
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My current employment |
| What position or job?: |
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Personable |
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Strong work ethics |
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Able to set and work toward goals |
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Committed and focused |
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Ability to get things done |
| Other: |
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| Please let us know a little more about your background. If you didn't do anything to earn extra money as a child, please enter "na" in the blank. What I did: |
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You are doing fantastic! You are almost finished.
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| Do you now, or have you ever owned your own business?: |
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| What type of business is it?: |
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| Does or did your business allow you to go where you want, when you want?: |
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| Does or did your business provide you with plenty of time for your family?: |
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| Does or did your business provide a consistent income without your babysitting it?: |
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| Are or were you limited to a specific region or territory?: |
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| Is or was your business supporting the current trends?: |
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| If Yes, which trends?: |
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| In your business, can or could you increase your income when you decide?: |
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| If Yes, how?: |
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| How would you feel if 6 months to one year from now you could fire your boss because you are operating a successful, profitable home business and you don't need that measly paycheck?: |
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| What would working from home do for you?: |
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| Do you believe you can, or do you currently earn a six-figure income?: |
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| How did you find our site?: |
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| If referral, what is the persons name so they can get their $50?: |
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| If this turned out to be the program you've been looking for, would there be anything stopping you from getting started right away?: |
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| If we determine that you qualify for a personal interview, we need to know your telephonenumber and the best time to call. Telephone number: |
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| Best time to call?: |
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| Second telephone number: |
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| Best time to call?: |
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| Where do we send the business materials? In the event you qualify, we need a mailing address for your business materials. Address: |
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| Address line 2: |
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| City: |
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| State/Region: |
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| Zip/Postal Code: |
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| Country: |
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Great!
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Great! This completes your online interview with us.
Be sure to check your email, you should receive an interview confirmation within a few minutes.
Upon your qualification, we will send you additional information by either email or standard mail. Once you receive your information, please review it right away. We will be giving you a call within the next couple of days.
Congratulations for completing the questions. We look forward to reviewing your information and possibly welcoming you to our TEAM.
Click submit to proceed.
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