Sales Representative Prescreen Questionnaire



Please indicate what type of role you are seeking *
What position would you like to apply for? *
We sell various Product lines. Please indicate below which product lines you would be interested in selling *
Have you had experience selling DME, orthopedic bracing, supports, electrical stimulation, or rehabilitation products? *
Commercial/Medicare providers *
Workers’ Compensation *
VA/Veterans *
DOD/Active Duty *
Direct Sales to HCPs (no 3rd party billing) *
First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
State / Province / Region *
Zip Code *
Email Address *
Phone # *
By providing my phone number to VQ OrthoCare, I agree and acknowledge that VQ OrthoCare may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP", assistance can be found by texting "HELP". For more information on how your data will be handled please visit our PRIVACY POLICY at https://www.vqorthocare.com/legal/privacy-policy/.
Upload Resume *
Add Resume


Accepted file types: pdf, Max. file size: 4 MB.
We only allow the upload of your CV/Resume in PDF format. See the link below on how to convert your Word Doc file to PDF.
How TO CONVERT Doc TO PDF


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