Apply for Independent Advocate

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Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Independent Advocate
ID:	1009
Location:	Nationwide

Resume
* Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:

Application Questionnaire

* Are you legally authorized to work in the United States?

	Yes
	No

* This opportunity is 100% commission based. We do not offer a base salary. Are you interested?

	Yes
	No

* This is a contract based opportunity. Are you interested?

	Yes
	No

* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

	Yes
	No

* Do you reside in one of or near one of these cities?
San Francisco, CA
Seattle, Washington
Phoenix, AZ
Portland, OR
Chicago, IL
San Diego, CA
Los Angeles, CA
New York, NY

	Yes
	No

* Do you own a laptop/tablet that could be used for demos?

	Yes
	No

* Should an offer be extended, will you consent to a criminal background check?

	Yes
	No

* How did you hear about this opportunity?

* The facts set forth in this application questionnaire and any supplemental information are true and complete to the best of my knowledge.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

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