Free Assessment Information Form


Please respond to the following questions to help us provide the personalized report that best meets your needs. We thank you for your interest in our company and hope you find the Free Assessment results useful to you. Fields denoted with * are required.

Company & Personal Information:
*First Name:
*Last Name:
*Company:
*Position:
*Daytime Phone: - - Ext.
*Email:
*Address:
*City:
*State:
*Zip:
Fax: - -
*Number of Employees:
Assistant's Name:


 
*Your role in the company allows you to do one of the following regarding assessments:
*Please check the areas that are on your wish list:
Hiring Salespeople Leadership Development
General Hiring Customer Service
Internal Promotions Managing People More Effectively
Building Effective Teams Retention
Conflict Mediation Coaching/Mentoring
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PLEASE NOTE: Limit of 3 free profiles per company or organization.

We reserve the right to invoice for requested reports beyond our free limit per company.

 

Copyright © 2004 Scholz and Associates, Inc.
P.O. Box 611 Cornelius, NC 28031
Phone - 704-827-4474
Fax - 704-827-7634

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