Global 360 Research
Home
About
Panel
Services
Contact
Join Panel
Join Our Panel
Please fill in the form below to join our panel.
1
Personal Details
2
Education Details
3
Household Composition
4
Professional Details
5
Account
Full Name
Email
Date of Birth
Gender
Select
Female
Male
Phone Number
Country
Education Level
Select one
Nursery School to 8th Grade
Some High School, No Diploma
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
What is your marital status?
Select One
Single, never married
Married or domestic partnership
Widowed
Divorced
Separated
Household Income
Total Number of Children
Employment Status
Select One
Employed for wages
Self-employed
Employed full-time
Employed part-time
Contract, Freelance or Temporary Employee
Out of work and looking for work
Out of work but not currently looking for work
A homemaker
A student
Military
Retired
Unable to work
Occupation
Annual Income Before Taxes
Select One
Less than 15,000
15,000-24,999
25,000-49,999
50,000-74,999
75,000-99,999
100,000-149,999
150,000-199,999
200,000-249,999
250,000 or greater
Job Title/Responsibility
Select One
Company Owner/Founder
Partner
Board Director
C-Level Executive
Senior Manager
Middle Manager/Department Manager
Junior Manager/Supervisor/Team Leader
Non-Managerial Employee
None of the above
Industry
Select One
Carpenting/Electrical Installations/VVS
Banking/Financial
Consumer Packaged Goods
Government/Public Sector
Healthcare
Organization Size
Select One
1 to 49 employees
50 to 249 employees
250 to 499 employees
500 to 999 employees
Department
Select One
IT Hardware
IT Software
Printers and Copiers
Financial Department
Human Resources
Annual Revenue
Select One
Under 100,000
100,000-249,999
250,000-499,999
500,000-999,999
Your Email
Create Password
← Back
Submit
Success
Congratulations! Your application submitted successfully.