Membership Questionnaire

Application type:    

Application Name:    

(Company Legal Name or Individual):    

Other Names being used:    

Contact Name:    

Contact Job Title:    

Address:    

City:    

State / Zip or Postcode:    

Country:    

Telephone:    

Fax:    

Email:   

Website:   

  http://

If Company, date established:   

Branch Offices to be listed/enrolled (if in addition to Head Office listed above)

Services offered by your Finance Sector:     

Permanent Temps Contract

Type of Engagements undertaken:     

Contingent OnlyRetained OnlyBoth

Experience levels served:     

Average Annual Revenue during past 5 years:     

  US$ 

 - of which % from Financial Sector:     

Total Number of Recruiters:     

(Part Timers, Consultants & Temps = 1/2)

- of which number in Financial Sector:     

 - and of average longevity/tenure (years):     

Average Number of Placements during past 5 years:     

- of which number in Financial Sector:     

 - Number of Finance Sector Placements made     

outside your normal territory:     

 - Number of Finance Sector Placements made     

outside your Country:    

Which Associations/Networks are you affiliated with?:    

Brief description of you or your company     

for display in our Members Section     

(Max 250 characters):     

Finally, how did you hear about FSRN?     

Email Solicitation Search Engine Referred by a FSRN Member Link on a Members Site Word of Mouth Link on another website Other