ThreeSixty Registration Form

ThreeSixty Registration Form

First & Last Name *

Email Address *

T-Shirt Size? *

Home Address *

City & State/Province *

Zip/Postal Code *

Company Name *

Direct Manager's Name *

Direct Manager's Email Address *

Email addresses of additional management that would like to remained informed of your progress 🛈

Which ThreeSixty course will you be attending? *

How comfortable are you in leading small group discussions? *

Years of sales experience? *

Years of industry experience? *

2021 sales? *

2021 growth? *

2022 target and growth goal? *

Why do you feel you are the right person for the ThreeSixty program? *

What drives you to be successful in sales? *

Tell us about an accomplishment you are most proud of. *

Is there any additional information you feel we should be aware of when considering your application?

Please confirm that you understand and agree to the following: *

I understand that by submitting this application I will not be guaranteed a spot in the ThreeSixty program. A member of the Amplifi Team will be in contact to let me know if I have been accepted into the program.

I understand that I have gained permission from ownership/upper management to apply for this course.

I understand and have informed ownership/upper management that the company will be billed $2,499 USD on the Facilis invoice following notification of acceptance into the course.

I understand that I will need to dedicate time to work on this training weekly.

I understand that this training is nonrefundable.

I understand that my name, photo and course work may be used in future training or marketing materials.