Partner Profile

We want to understand who you are and how you operate.

Company or Individual Name: *

Website or LinkedIn Profile:

Primary Business Industry: *

Healthcare Staffing Agency

HR Platforms

Healthcare Consulting

Software Company

Current Role: *

How long have you been active in the healthcare space? *

Less than 1 year

1-2 years

3-5 years

5+ years

Your Network

Help us understand the depth and focus of your current relationships.

Which facility types are strongest in your network: *

Skilled nursing facilities (SNF)

Assisted Living/Memory Care

Long-Term Care (LTC)

Hospitals & Health Systems

Rehabilitation Centers

Federal, State, & County Government

Which geographic regions or states do you have the most influence in? *

Estimated number of warm facility decision-maker contacts in your network: *

1-10

11-49

50-99

100+

Which titles do you typically communicate with? *

Your Approach

We want to understand how serious you are about this partnership.

How do you plan to introduce Superb Shifts to your network? *

Direct outreach to existing clients

New lead generation (cold calling/email)

Content marketing/Social media

Value-add to an existing service package

Why do you believe Superb Shifts is a good fit for your contacts? *

Estimated number of facility referrals you expect to submit per month: *

1-2

3-5

6-9

10+

Are you currently a partner or affiliate for any other staffing or VMS platforms?

Yes

Almost done

A few final questions to set expectations on how we work together.

First Name *

Last Name *

Email *

Phone *

Can you provide a W-9 or business tax documentation for commission payments? *

Yes

No - but I can obtain one

Are you comfortable facilitating a warm intro meeting between the facility and a Superb Success Manager? *

Yes, absolutely

I'd prefer to handle introductions my own way

Not sure yet

Briefly describe your most successful professional partnership to date: *