REFLEKT ONBOARDING
Welcome! This form is strictly for those who have been offered an opportunity to begin training program by Reflekt.
Name
*
First Name
Last Name
Date of Birth
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Back
Next
What position are you wanting to get trained as?
*
Remote Representative
When is your ideal start date for training?
*
Where are you located?
*
Back
Next
Background Questions
Have you ever been convicted of a felony or misdemeanor in the past year?
*
Is there any background issues we should be aware of in the past year?
*
Back
Next
Back
Next
Terms and Conditions
*
By checking this box, I have reviewed and agree to the Terms and Conditions
REQUIRED
*
prev
next
( X )
Onboarding/Training
Covers onboarding & training material
$
99.00
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Optional
I would like to request reimbursement for the $99 onboarding/training fee following training
Submit
Should be Empty: