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"I’m kicking myself because I didn’t join sooner. I’m very, very pleasantly surprised. I never imagined that I’d be as happy with Top Echelon as I am."

Bob Small
Carroll Technology Services, Inc.

 

Thank you for deciding to apply for Membership. We will contact you within 48 hours to let you know that we have received your application. This is the first step in the process of becoming a Preferred Member. To learn more about that process, click HERE.

Section 1: Contact Information
Company name:
 Your first and last name: 
Title:
 Company phone:
Mailing address:

Street or PO Box		 Company fax:
City:
 Your email:
State/Province:

 Web site:
Zip Code:
How did you hear about us?
 
Section 2: Company Information
Business Details
How many splits has your company completed in the last 12 months? Business Type:
How many splits has your company completed in the last 36 months?
Total revenue from these splits: Number of offices:
Is your company a subsidiary of another company?
Parent company:
Year company became active in the placement industry: Company's annual revenues: 
Do you hire candidates from recruiters on a contract or permanent basis?
Percentage of business is devoted to:   % Contingency   % Contract
% Temporary      % Retained
% Other
Normal fee schedule:
(e.g., 1% per thousand with a cap of 36%)
 		Normal refund policy:
Please include a brief description of the  specialty areas and industries that you work.
(This is required before this form can be submitted.)
 
Employee Details

Number of in-house employees on company payroll (e.g., recruiters, consultants):

Total number of employees, including contractors, on company payroll:
Please list names/emails of recruiters at your company who will be using our services:
Name
 		Email
 
Section 3: Network and Association Information
Are you now, or have you ever been a member of a placement network?  
Network name:
 Network name:
Reason for leaving:
Reason for leaving:

Member of the following professional associations: (national, regional, state or local associations, such as National Association of Personnel Services)
   
Section 4: References
We will need at least two references before we can process your application. Our preference is to speak with Members that have done business with you but we will gladly accept other recruiters that can vouch for your character and split placement history. Professional references are also welcomed to help reinforce your standing as an ethical, honest recruiter.
List any Top Echelon Members who will recommend you to become a Top Echelon Member
Name Phone Company
Please list two placement firms you have made splits with in the past
Name Phone Company
Please list two professional references we may contact; preferably client companies
Name Phone Company
   

Read our Agreement for Services

Please read our Agreement for Services , and check one of the boxes to the right after you've read the Agreement.

 I've read the Agreement and I agree to abide by it.