Employment Application Form

1

Name

First Name

Last Name

2

Phone Number* This field is required.

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3

Email* This field is required.

example@example.com

4

What type of schedule are you looking for?* This field is required.

Full-Time

Part-Time

Spare-Time

Remote

Other (please specify)

5

Are you at least 18 years old?* This field is required.

Yes

No

6

Are you authorized to work in the United States?* This field is required.

Yes

No

7

Are you comfortable going through background check?* This field is required.

Yes

No

Other

8

What is your employment status?* This field is required.

Employed

Unemployed

Self-Employed

9

What is the average you are looking to make from this work opportunity (monthly)?* This field is required.

$500-$1,000

$2,000-$3,000

$4,000--$5,000

$6,000+

10

What state are you located in?

11

Best time for an Interview Call: Please have the Zoom app Downloaded prior to our interview.