Your Recruiting Firm
Select the choice that best describes your firm:
Firm Type:
If other, please describe:
How long has your firm been in business?
<1 year
1 to 3 years
>3 to 10 years
>10 to 15 years
>15 years
If you selected < 1 year, when did your firm begin?
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
How long have you personally been in the recruiting business?
<1 year
1 to 3 years
>3 to 10 years
>10 to 15 years
>15 years
Are you an owner of your recruiting firm?
Yes
No
If no, what is your position with your firm?
Recruiter
Business Development
Administrator
Other
How many people own your recruiting firm?
How many recruiters including yourself, if applicable, work in your firm?
What is the timing of your interest in applying for membership in NPA?
Within 30 days
Next 3 months
Within 12 months
No timeframe, research only
Does your firm have more than one office location?
Yes
No
If yes, how many?
If yes, where are the offices located?
Split-Fee Placement History of Your Recruiting Firm
Does your recruiting firm have experience with split-fee placements?
Yes
No
If yes, how many split placements have you made in the last 12 months?
When making split placements, identify the percentage of imports (you have the job order/assignment) and the percentage of exports (you supply the candidates). NOTE: Must total 100% and all fields must have a value (from 0-100) entered.
Import %:
Export %:
Do you have a strategic interest in making split-fee placements?
Yes
No
Has your recruiting firm ever been a member of a split-fee placement network?
Yes
No
If yes, are you a current member?
Yes
No
If yes, please state in which network you are a member and for how long.
Were you ever a member of NPA?
Yes
No
If yes, in what year did you leave and why?
Why is your recruiting firm interested in joining NPA assuming your strategic goal is to bring incremental revenue to your firm? Select all that apply
Why is your firm interested in joining NPA
If Other:
Referred by:
Referred by:
Advertisement
Article
Blog Posting / Social Networking Contact
Direct Mail
Email Marketing
Internet Search
NPA Member
NPA Member Website/Email
NPA Website
Other Website - please provide link below
Tradeshow
Other
If other, please describe:
If NPA member referred you, state name of person and firm
First Name:
Last Name:
Firm Name:
How well do you know this person:
Know very well, have done splits together
Know well, attempted splits
Know well
Have met/spoken, do not know well
