Career Viewpoint Step 1 of 10 10% Recruiter InfoHiddenRecruiter Name First Last Recruiter Email(Required) Current SituationYour Name First Last Resident Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile PhoneEmail(Required) Current Occupation Job Description Select all that applyEducation Completed High School Technical School Special Training College University How long have you been in the local area? Less than 1 year 1-3 years 3-5 years 5-10 years 10 years or more I am currently... Not Employed A Student Employed Part-Time Employed Full-Time Self Employed How long have you been in your present occupation? Not Applicable Less than 1 year 1-3 years 3-5 years 5 years or more I have experience as a(an)... Employee Supervisor Manager Executive Business Owner I have received income from... Salary / Wages Commissions Bonuses Business Interests Business Owner Investments I have been responsible for... Administration Supervision Sales Customer Service Training My ViewsRegular advancement in my career is… Essential Fairly Important Of Little Importance Not Applicable Owning my own business some day is… Essential Fairly Important Of Little Importance Not Applicable Achieving my personal goals is… Essential Fairly Important Of Little Importance Not Applicable Knowing I have job security is… Essential Fairly Important Of Little Importance Not Applicable Freedom to plan my own work schedule is… Essential Fairly Important Of Little Importance Not Applicable Spending more time with my family is… Essential Fairly Important Of Little Importance Not Applicable My spouse’s support of my career goal is… Essential Fairly Important Of Little Importance Not Applicable Having sufficient resources to enjoy the good things in life is…. Essential Fairly Important Of Little Importance Not Applicable My financial security is… Essential Fairly Important Of Little Importance Not Applicable Achieving a significant growth in income is… Essential Fairly Important Of Little Importance Not Applicable Money FreedomMy standard of living is adequate Yes No Not Sure Not Applicable I am being paid what I am capable of earning Yes No Not Sure Not Applicable I receive regular increases in income Yes No Not Sure Not Applicable I have control over my own income level Yes No Not Sure Not Applicable I am financially “stress-free” at month end Yes No Not Sure Not Applicable I own a home that meets my expectations Yes No Not Sure Not Applicable I have the financial resources to start my own business Yes No Not Sure Not Applicable I have the resources to enjoy the good things in life Yes No Not Sure Not Applicable At my present rate of accumulation, I will likely be able to retire early Yes No Not Sure Not Applicable I would like a career with more money freedom Yes No Not Sure Not Applicable Time FreedomI am able to schedule my own work hours Yes No Not Sure Not Applicable I can take vacations whenever I want Yes No Not Sure Not Applicable I have adequate time to be with my family Yes No Not Sure Not Applicable I have the freedom to schedule my own time off Yes No Not Sure Not Applicable If I took an extended leave, my job would be secure Yes No Not Sure Not Applicable I have ample time for continued education Yes No Not Sure Not Applicable I have adequate time for personal fitness Yes No Not Sure Not Applicable Work demands rarely conflict with my personal plans Yes No Not Sure Not Applicable Working more hours helps me get ahead Yes No Not Sure Not Applicable I would like a career with more time freedom Yes No Not Sure Not Applicable Time FreedomMy present job is sufficiently challenging Yes No Not Sure Not Applicable My company encourages self-development Yes No Not Sure Not Applicable My growth is unaffected by office politics Yes No Not Sure Not Applicable My company supports my career aspirations Yes No Not Sure Not Applicable Progress in my present job is based on job performance Yes No Not Sure Not Applicable If I upgrade my skills, I will advance in my career Yes No Not Sure Not Applicable I can achieve my career goals with my present company Yes No Not Sure Not Applicable In my present position, I have freedom to grow Yes No Not Sure Not Applicable I have sufficient skills to start my own business Yes No Not Sure Not Applicable I want a career with more freedom to grow Yes No Not Sure Not Applicable Job SatisfactionMy job is an important one Yes No Not Sure Not Applicable I look forward to going to work Yes No Not Sure Not Applicable I have the ability to control my career path Yes No Not Sure Not Applicable My company has a suitable system to reward superior performance Yes No Not Sure Not Applicable My company encourages career growth Yes No Not Sure Not Applicable I have adequate job security Yes No Not Sure Not Applicable My company offers good growth potential Yes No Not Sure Not Applicable I am motivated to go the “extra mile” for my company Yes No Not Sure Not Applicable I would like a higher level of job satisfaction Yes No Not Sure Not Applicable I am satisfied with my present position Yes No Not Sure Not Applicable TransitioningAs an employee, how soon can you start? MM slash DD slash YYYY As an independent agent how soon can you start? MM slash DD slash YYYY Would you be able to start as an Independent Agent on a part-time basis? Yes No Do you have a transition plan to start a new career? Yes No Do you need help developing a transition plan? Yes No IndependenceDo you make your own career decisions? Yes No Do you work best independently or alongside others? Independently With Others Who would help you make a career decision? Are you able to stay focused on your goals? Yes No When you get off track, how do you bring yourself back on track, when it pertains to achieving goals?IndependenceDo you have the financial resources to start a business? Yes No Do you have family that is supportive, if you were to start a business? Yes No Do you have a support system of positive people in your life? Yes No My IntentionsTo achieve my career goals, I may have to... Look for a new employer Change my occupation Go back to school Ask for more income Ask for a promotion Update my present job skills Work harder Start a business Acquire new job skills Work more hours Move to another city Review my career options Other IntentionsDiscussion PointsCurrent Priorities Less time away from home Less shift / overtime work Fewer restrictions on income Less financial pressure Lower job stress Fewer restrictions on growth Less direct supervision Fewer restrictions on time off Less out-of-town work Long-term Priorities Work harder Start a business Acquire new job skills Work more hours Move to another city Review my career options Improve lifestyle Opportunity to build a business Growth opportunities Other Issues
