Employment Application Form

Employment Application

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

First NameLast Name
Birth Date

MonthDayYear
Phone Number:

Area CodePhone Number
E-mail Address:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you able to pass a background check?
Have you ever worked in a Call Center or in Customer Service?
If yes, how long?
If selected for this position can you commit to 15 hours per week?
Do you have a laptop or desktop with Windows 10?
Do you have a home phone or willing to obtain one?
Working from home requires that you have your own internet service. You must have a modem. Do you have internet service or willing to obtain it?
How were you referred to us?
Others:
Upload Resume:

Upload a File

Cancelof
Are you 18 years old or older?
Why do you want to work from home?
Job Skills & Training
Describe your skills:
Training or Certifications:
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I understand if selected for this position I am an Independent Contractor and not an employee?
When can you start?

MonthDayYear
Date
If selected for this position I understand that I am responsible for the cost of certification class. *Note: the certification cost is not the cost charged by our company, it is our clients fee for their certification course. Class certification classes are around $0-$250. However, MOST certification classes are around $69-$99. As an Independent Contractor you choose which client class you want to attend, thus you are in control of how you spend on the certification class. Each class is tax deductible.
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