ERS Employment Application

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
How did you hear about us*
If you referred to us by a current or former employee, please list their name
Available Start Date*

MonthDayYear
Date
Last Four Digits of Social Security Number*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the U.S.?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Please select your highest level of education*
Please list your most recent employer*
Contact name*
Contact phone*
Employment start date*
Employment end date*
Please explain why you left your last employer*
Have you ever worked for a 3rd party debt collection agency?*

YesNo
Have you received training on any of the following Federal laws? (check all that apply)

FDCPAHIPAAGLBARegulation F
Have you ever been terminated from a debt collection agency for violating any of the above laws?*

YesNo
Have you had a judgement entered against you by a debt collector in the past 5 years?*

YesNo
Have you filed for bankruptcy in the past 5 years?*

YesNo
Please list any languages you speak fluently (other than English)*
What job are you apply for?*
Weekend work may be required with some positions. Are you able to work up to 2 Saturday's per month?*

YesNo
Please list a personal reference*
Personal reference phone number*
Please enter a valid phone number.
Salary requirements*
Please list any special skills you may have
Please explain why you feel you would be an asset to the Express Recovery team*
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Job Application