Confidential Expression of Interest

Thank you for inquiring about the TopLine Business Development Consulting program. Unlike most other consulting or marketing franchise opportunities, we do not use the size of your financial investment as a qualifying factor, and we place minimal emphasis on the employment positions you have held in the past.

Instead, we place much more weight and value on other factors that we know from experience, have a more direct bearing on your success.

So that we may get to know more about you, please answer the following questions and return this form to us via fax or return email.

Please rest assured that all information you provide will be kept in strictest confidence and shared with no one.

Personal Information

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Full Name:

Address:

City:

State:

Zip/Postal Code:

Country:

Home Phone:

Work Phone:

Fax:

Cell / Mobile:

Email:

Where did you first hear about the TopLine opportunity?

Do you currently own your own business?

If yes, what type of business is it?

How long have you owned it?

Have you owned a business in the past? Type of business:

How many years have you owned your own businesses?

What is your most recent work or employment experience? (Enter number of years)

	Sales
	Office Staff
	Middle Management
	Senior Level Executive
	CEO / COO / President
	Owner

	Do you consider yourself a self-starter?
	Do you have the ability to look at another business and identify things that you would do differently if it were your own business?
	Do you consider yourself to be a problem solver?
	Do you have the ability to communicate your ideas to others?
	On a scale of 1 (lowest) to 5 (highest), rate your sales skills.
	On a scale of 1 (lowest) to 5 (highest), rate your public speaking / group presentation skills.
On a scale of 1 (lowest) to 5 (highest), rate your computer skills.
	Microsoft Word
	Microsoft Excel
	Microsoft PowerPoint
	Microsoft Publisher
	Email
	Database program (i.e., Act!, Goldmine, Microsoft Access)
	What is your weekly time commitment to other job(s) or business(es)?
	Initially, how many hours per week do you plan to spend working in your consultancy?

Describe what skills you possess that would make you a successful business development consultant:

Specifically, what attracts you to the business development consultancy business? (Why do you want to be a consultant?)

What do you expect or hope to get from your own consultancy?

As a person, how would you best describe yourself?

If only one position existed, and you and another equally qualified person were being considered, what skills or qualities do you possess that would make you the standout choice?

Business Equipment
	Desktop computer
	Laptop computer
	Laser printer
	Color printer
	Fax machine
	Microsoft Office
	Microsoft Publisher
Additional comments or things you'd like for us to know:

This questionnaire is entirely confidential and does not obligate you to proceed further with the TopLine opportunity in any way. It is simply a tool to help us to get to know you better and to help determine your suitability as a TopLine Business Development Consultant.

The amount of income you earn and the level of success you attain in any business are largely dependent on your efforts. Because there are many variables that determine the success of an individual, many of which are beyond the direct control of TopLine, we make absolutely no guarantees of income or success as a TopLine Consultant.

As with any business venture you are encouraged to get independent counsel and advice before making any final decisions.

By clicking the "Submit" button below, you state that the above information is factual to the best of your knowledge, you accept the above conditions, and hereby request consideration as a TopLine Business Development Consultant.

Please type your full name here: Today's Date:

If you would rather submit a printed copy, click here to download the form.

Fax: 480.461.0546

E-mail: Martin@toplinebusinesssolutions.com

Postal: TopLine Business Solutions

1806 E. Kenwood Street

Mesa, AZ 85203