Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name: *

First Name Last Name
Cell Phone Number: *

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth *

Month Day Year
Date
E-mail Address: *
Highest level of education completed *
Do you have experience in the following fields? *

Customer Service Sales Technical Support
Is English your primary language? *
Best Time To Contact *

Morning Afternoon Evening
Referred By:
Interested In: *

Chat Customer Service Sales Technical/Product Support
Desired Hours: *

Full-time (30+ hours/wk) Part-time (Less than 30 hrs per week) Day Night Overnight Any Hours
Are you currently employed? *

Yes No
Have you worked from home before? *

Yes No
Upload Resume: *
Do you have the following items which may be required for certification? *

Windows 7 Windows 8/10 Mac Laptop Computer Desktop Computer Dual Monitors High Speed Internet with Ethernet Connection Noise canceling USB Headset Home phone line (landline or cable company, no cell phones, no VOIP, no Magic Jack) Call Center Phone with Headset for in bound calls
Do you reside in one of the following states? We contract with agents throughout the US but currently are unable to contract with agents who live in California, Connecticut, Maryland, Massachusetts, New York, Oregon, or Wisconsin. *

California Connecticut Maryland Massachusetts New York Oregon Wisconsin None of the above
Computer CPU Speed: Complete a speed test by going to https://www.speedtest.net/
Computer RAM: Go to https://www.pcmag.com/how-to/how-much-ram-do-i-have-in-my-pc for steps to check your RAM.
Describe your skills that would make you successful in working from home: *
Internet via Ethernet Chord *

I understand that I must have my computer/laptop plugged directly into my Internet source via cable because Wifi is not allowed.
THIS IS A INDEPENDENT CONTRACTOR POSITION AND YOU WILL BE PROVIDED A 1099 MISC TAX FORM AT THE END OF THE YEAR. PLEASE CHECK BELOW TO CONFIRM THAT YOU UNDERSTAND THAT THIS IS A 1099 INDEPENDENT CONTRACTOR POSITION AND NOT A W-2 JOB. * *

I understand that this is a 1099 independent contractor position and no taxes will be withheld, and I will be presented with a 1099 MISC and not a W-2 for tax purposes.
Please verify that you are human *
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform