Career Assessment Form
Full Name
*
First Name
Middle Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Day
-
Month
Year
Date
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Where is your area of residence?
*
Are you looking for a job or to build a career?
*
Career
Job
Do you currently have a vehicle?
*
Yes
No
Marital Status
*
Single
Married
Common-Law
Divorced
Do you have any children?
*
Yes
No
If yes, please state the number of children. If no, put none
*
Do you have Maths and English CXC/CSEC qualifications?
*
Yes
No
Do you have a degree?
*
Yes
No
Have you ever worked in a sales-oriented job?
*
Yes
No
Are you social media savvy? (Comfortable with using it and filming/posting yourself)
*
Yes
No
If selected, how many hours per week can you realistically commit to building your business?
*
20-30
30-40
40-60
60-80
80+
What financial or personal goal are you currently working towards?
*
Why are you considering a career change at this time?
*
What is your current income?
*
What is your desired income?
*
What do you believe separates you from everyone else?
*
Are you comfortable with working solely on commissions (initially)?
*
Yes
No
Upload Resume (PDF or Word Only)
*
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