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Preliminary Questions

• Will you now or in the future require sponsorship for employment visa status?

  • Yes
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• Do you have a valid driver's license?

  • Yes
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• This is a fully commission based role, with paid training for the first 9 weeks. Are you comfortable with that type of structure?

  • Yes
  • No
• This is a full-time role that requires some evening and weekend availability on a weekly basis. Are you able to meet that requirement?

  • Yes
  • No
• This Job requires frequent travel - are you comfortable traveling up to 2 hours for appointments on a daily basis (no overnights)?

  • Yes
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Demographic Survey for Renewal by Andersen Midwest & Metro

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

• What is your age range?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• I identify my ethnicity as

  Select all that apply

  • White / Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black or African American
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • Some other race, ethnicity, or origin
• What gender do you identify as?
  • Female
  • Male
  • Non-binary