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First Name : 
Last Name : 
* Phone : 
 
 
 
List three words that people would use to describe you.
   
 
 
 
List three words you would use to describe yourself.
   
 
 
 
What's your favorite snack or sweet treat?
   
 
 
 
What type of work do you like?
   
 
 
 
What type of work do you dislike?
   
 
 
 
What do you respect in a leader?
   
 
 
 
What do you respect in a teammate?
   
 
 
 
Select your top 10 values.
 
Self-sufficiency
 
Fun
 
Fulfillment
 
Honor
 
Faithfulnes
 
Duty
 
Practicality
 
Compassion
 
Inclusiveness
 
Individuality
 
Fair Play
 
Freedom
 
Ambition
 
Influence
 
Learning
 
Humility
 
Wealth
 
Happiness
 
Edge
 
Change
 
Responsibility
 
Teamwork
 
Authority
 
Creativity
 
Achievement
 
Security
 
Openness
 
Objectivity
 
Integrity
 
Other
 

 
 
 
How do you like to be rewarded or acknowledged?
   
 
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