Skip to content
Applicant Form
Updates
Medical Sales Rep Experience Form
First Name
Last Name
Email
Phone/Mobile
Location
City
State
Experience Information
1. How many years of sales experience do you have?
None
Less than 1 year
1-3 years
3-5 years
5+ years
2. Do you have experience in any of the following industries? (Check all that apply)
Medical Devices
Pharmaceuticals
Diagnostics
Biotech
None of the above
3. Have you had SALES to any of the following healthcare professionals? (Check all that apply)
Vascular
Wound Care
Podiatry
None of the above
4. What is the most technical product you've sold? (Leave blank if none)
5. Do you have established professional relationships within wound care, dermatology, vascular or podiatry
Yes
No
6. Have you ever exceeded a sales quota?
No
Yes - Once
Yes - Multiple times
Yes - Consistently a top performer
7. Do you have experience working in a highly regulated environment (HIPAA, FDA, etc.)?
No
Some
Yes
8. Would you be willing to undergo a background check?
Yes
No
9. Do you have any professional relationships with senior living, skilled nursing facilities, assisted living or home health professionals?
Yes
No
Submit Form