SALES PROFESSIONAL PORTFOLIO (SPP)

Instructions
WAIT! Have you met GMA's minimum requirements? Copy/paste to browser first to determine: http://www.globalmedalliance.com/EXPAGES/isrsurvey.asp You will be directed back to this page if you qualify. ***Please only click the Save button once and allow 60-90 seconds for file to transfer when completed*** Please "click" into each of the boxes as some boxes will have limited selections rather than allow you to fill in the blanks. You only need to submit one SPP to be in our database. If your information changes, please call (or email) GMA rather than submit a second SPP. The more "blanks" you can fill in (and information you provide), the more leads you will receive. You may attach a resume in the section near the bottom of this form if you wish to include one for our records. *** IF YOU ARE REPLYING TO A POSTED OPPORTUNITY FROM OUR MEDICAL WEBSITE LISTINGS, PLEASE BE SURE TO LIST THE OPPORTUNITY YOU ARE INTERESTED IN AT THE BOTTOM OF THE FORM IN THE COMMENTS SECTION. ***
Contact Information
First: *    
Last: *    
Address: *
City: *  
State: *  
Zip: *  
Country:
Office Phone: *  
Cell: *  
Email: *  
Fax:
Website:
Certifications (CSP, CPMR):
Associations (HIRA, NAMSR):
Professional Achievements:
Education Level: *  
Years of general sales experience: *  
Years of medical sales experience: *  
Independent Rep/Agency: *  
Products / Manufacturers
Current product(s) offered/description: *
1. *   7.
2. 8.
3. 9.
4. 10.
5. 11.
6. 12.
Current manufacturers represented: *
1. *   7.
2. 8.
3. 9.
4. 10.
5. 11.
6. 12.

Names of past products:
Names of past manufacturers:
Past departments called on:




















What types of products would you consider representing:
What minimum percent of commission do you require:
Personal Information
Hobbies, family info, etc:
How would you describe yourself professionally:
What do you enjoy about your current suppliers:
Are there things you would change about any of your current suppliers:
The Territory
Describe your boundaries: *
  State: Region: Country:
1. 
2. 
3. 
What type of customers do you call on: *

Who are some of your major accounts:
How often do you visit your major accounts:
What are your primary and secondary markets: *





Are you looking to add a product line into one of those markets or create a new one:
Do you call on wholesalers, distributors or dealers:
Company History
Do you do annual business plans and forecasts:
Do you do your own proposals and quotations:
Have you ever done short-term contract sales/surveys:
Do you have your own website:
Do you have your own brochures:
Do you do any direct mail or email blasts on a regular basis:
How do you promote your product:


How many people work for/with you in your organization: *  
Do you perform service tasks, in servicing and sales functions:
Do you have multiple office locations:
Do you have storage or a warehouse for product:
Do you participate in local regional and national trade shoes:
How long has your current company been in business:
Are you a sole proprietorship, partnership or corporation:
Are you part of a sales agency: *  
What plans do you have to grow your company:
How much time can you dedicate to a new line:
References (of peer independent medical representatives)
(Reference 1) Name:
Title:
Phone:
Cell:
Email:
(Reference 2) Name:
Title:
Phone:
Cell:
Email:
(Reference 3) Name:
Title:
Phone:
Cell:
Email:
Resume
Please attach your current resume:
Hospital Department List
Current Departments called on: *



















Other 1: Other 4:
Other 2: Other 5:
Other 3: Other 6:
Comments: