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We are sorry for this time commitment, but we guarantee the Best Candidates to our Clients and we hope you understand. Please take your time filling in this profile sheet. **We forward your complete application "as is" to our clients once we have spoken with you, and if you are interested in moving forward with them.**

**TIPS ON FILLING IN THIS APPLICATION!! Read Italics - Important Info is posted there**

CHROME is the best web browser to use for this. Using the Tab Key is the Fastest way to move around on a computer. AUTO FILL is NOT your Friend in this Form!! Trying to complete this on a Smart Phone may cause an Increased use of Profanities or need to perform Yoga. (Yes - We do have a sense of humor and hoped you Smiled.)

FYI - We do review these items.

(and "Name you prefer to be called" if different) **(i.e. William "Bill")

**Non-US (more than10 digit numbers) - Please use the space key as you usually would.**

Please check it after you enter it!

Optional - We are asking for your work email so we know what your company's email format is. We don't use candidates' work email useless your personal email no longer works and we can't get in touch with you via the phone. Providing us your work email - Gets you BONUS POINTS! Hopefully, it helps us grow our Client List and allows us to fill more roles and place more candidates! Thank you in advance for sharing it - We appreciate it!

(Put ** 2022None.com ** if you DON'T have a LinkedIn Profile or Personal Website.) Please check your URL before pasting it here.

(Please Only Use the 2 letter State abbreviation) **This IS Important**

This includes the United States Army, Navy, Air Force, Marines, Space Force, American Red Cross; local, state, or federal Police or Fire Departments, and Emergency Medical Technicians (EMTs). **If YES - Please provide a sentence or 2 on what group you were with, whether you were enlisted or an officer, and for long how. Our Clients Value this Background and We Thank you for your Service to our Country!**

If you are not sure of the exact date of your anticipated graduation but know the month and year pick the 27th. (i.e. I should be graduating in May 2023 - enter 5/27/2023)


Please explain what you need to be authorized to work in the United States and time frame you need it by. (Some of our clients have no problem assisting you based on your experience and qualifications.)

Remember: 1st Impressions are hard to change.

Answering with See Resume, N/A or the space bar will decrease your chances of being considered and shows that you are rushing to get this done.

1 or 2 sentences would be ideal.

Please # your responses and use a comma after each (i.e. 1, 2, 3, ..) **Very Important Question!!**

(That are not related to you. Can be immediate or prior Managers or above, Colleagues, Customers and/or Direct Reports) You'll need 3-5 professional references after we have talked with you about a position either you applied to or we think you would be a good fit.


Please provide if you have a college degree

Please provide if you have an advanced degree

Next Position

Please, no $ or decimal point - just numbers and a comma. It is understood that this would be a minimum. (You can add additional comments if you want.)**Putting Negotiable, Open, or something other than a number doesn't work for us. **Our candidates know the minimum compensation they will consider and are willing to share this with us.**

**If you are applying for a specific position please enter the title for that position above. If you are registering on our website - your responses should be based on your level of experience in climbing the corporate ladder. (i.e. 1st - Sales Rep, 2nd Sales Mgr, 3rd Dir of Sales)

Please answer all questions based on your current or last position.

Being a student counts as a job.

(Please DON'T include https: or www.) (i.e. = pfizer.com)

Keep it simple 2 or 3 sentences should cover it. (i.e. Regulatory Affairs - I helped create improvements to the medical devices. Medical Device Sales - I managed a territory covering 5 states & increased sales by $ or %s. Training & Development - I trained X# of Drs or Reps on Y# of products that dealt with the following disease states. MSL - I answered off-label questions or was involved in managing W# of clinical trials.)



(i.e.2019-May, Unable to call on current customers with competing product lines in the Orthopedic Space.)



Please provide either the City and State (use the 2 letter State abbreviation) using major metro areas or the Region of the country you are most interested in residing.

( i.e. Cleveland, OH or South East or Mid West - you get the idea)



Financial Info

(Be honest - Having poor credit doesn't disqualify you.) Select 1 of these choices from the pull-down menu: 1 EXCELLENT - Pay everything on time and don't carry a balance on any credit cards, 2 GOOD - Pay everything on time but carry a balance on some credit cards, 3 ALRIGHT - Some late payments in the last 2 years OR carry a balance on nearly all credit cards, 4 NEEDS WORK

Transportation / Vehicle Related


6 questions left, 4 are optional!

This needs to be done manually by HIRE-IQ.net and We will try to get it to you within 2 weeks of receiving it.

EEO (Equal Employment Opportunity) Questions

Invitation to Self-Identify as a Veteran

This employer is a Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:

  • A "disabled veteran" is one of the following:
    • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
    • a person who was discharged or released from active duty because of a service-connected disability.
  • A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below.

As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Form CC-305
OMB Control Number 1250-0005
Expires 04/30/2026
Voluntary Self-Identification of Disability

Why are you being asked to complete this form?
We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?
A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability.

Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury

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PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete

Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

IF you are HIRED by one of our clients and it is Determined that NOT ALL OF YOUR ANSWERS were completely Honest and Accurate - Immediate Termination can Occur.

Before you submit your registration / application - Please check your answers.


If you don't receive an Email Confirmation within 30 minutes of Submitting your Completed Application OR Registration and Logging Out of this site - THERE IS A PROBLEM (Regardless of the Time of Day) and you'll need to do it again. Ugh! Fingers Crossed Everything works the 1st Time! (If you skipped a required question it won't let you submit your application/registration.) Thank you for your time.

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