Application Form

Complete our application for and we will get together with you to discuss membership into our community.

First Name *

Last Name *

Email *

Phone *

City *

Country *

Link to your Facebook profile *

Link to your LinkedIn or Instagram or Twitter

How many years have you been in sales?

What industry do you prefer to sell in? *

What other industries have you sold in? *

What are your sales revenue numbers been like over the last 12 months? *

What are you hoping to achieve in your career in the next 12-24 months? *

What are the challenges you're looking to overcome, if any? *

What are the things you'd like to get out of being in a community of like minded individuals? *

What do you feel you would contribute to The Collectiv Community? *

Do you have the time to invest in being an engaged member of a community? *

Yes - I can commit the time and be engaged in the community

Yes - I have some time to be engaged with the community

Yes and No - but I can make time to make this a valuable experience

No - I don't have the time to engage with the community

The Collectiv Community is a paid private community of like minds. Are you in a position where you can invest in yourself?

Yes I am prepared to invest if it's a good fit

No I am not in a position to invest yet

Communication is one of the things we value the most. We will be in contact with you regarding your application. Can you commit to allocating sometime to speak with us when we reach out to you? *

YES

NO

How did you hear about us? *

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