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Set Mandatory Question for Agents referring candidate

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When an agent refers a candidate for a requisition in the agency portal we would like for the agent to have to answer a question confirming this referral abides by the outlined agreed standard of practice, in our agreement with the agency. (A question with a checkbox for no and another checkbox for yes would be perfect).

Is there a way to make this question only assigned to agency referred candidate applications? We would like all agents to receive this question.

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