Employment Application
Part-Time Customer Service Representative
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
City
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State
Zip Code
Availability
Are you available to work approximately 20 hours per week during regular business hours?
*
Yes
No
What days are you available to work?
*
Monday
Tuesday
Wednesday
Thursday
Friday
What hours are you generally available to work on those days?
*
Example: 9:00AM - 2:00PM
Are you able to work in-office in Newton, Mississippi?
*
Yes
No
This position requires dependable and consistent attendance during scheduled work hours. Are you able to meet this requirement?
*
Yes
No
Experience and Skills
Do you have previous customer service or office experience?
*
Yes
No
If yes, briefly describe your previous customer service or office experience.
How comfortable are you using computers and learning new software?
*
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Are you comfortable answering phones and assisting customers both by phone and in person?
*
Yes
No
Which of the following do you have experience with?
Customer Service
Answering Business Phones
Data Entry
Email
Microsoft Word / Excel
Processing Payments
Filing and/or Recordkeeping
None of the Above
Insurance Licensing
Do you currently hold an active Mississippi insurance license?
*
Yes
No
If yes, what type of insurance license do you currently hold?
If you are not currently licensed, are you willing to complete the requirements to obtain the appropriate Mississippi insurance license within 90 days of employment?
*
Yes
No
Tell Us About You
Why are you interested in this position with Virtual Office Solutions Insurance Agency?
*
What qualities or strengths would you bring to our agency?
*
Tell us about a time you had to deal with a difficult customer, coworker, or situation. How did you handle it?
*
Employment and Resume
Are you currently employed?
*
Yes
No
If currently employed, how much notice would you need to provide your current employer?
When would you be available to start?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please upload your resume.
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Certification
Applicant Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false or misleading information may result in disqualification from consideration or termination of employment if hired.
*
I agree
Applicant Signature
*
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