Tell Us About Yourself!

Tell Us About Yourself!
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
City*
Zip code *
Date of birth*

MonthDayYear
Date
Age:*
How did you hear about our career opportunity?*
1. Do you have a valid, government issued photo ID?*

yesno
2. Have you ever been arrested?*

yesno
3. Have you had any felonies?*

yesno
4. Have you had any misdemeanors?*

yesno
5. Do you have a vehicle that you can bring and keep with you at all times?*

yesno
6. Are you currently employed? If so, what is your weekly income?*
7. When are you able to start your career?*

MonthDayYear
Date
8. How fluent are you in speaking Spanish? ( Rate: 1=none to 10= fluent)*

1-34-78-10
9. Do you have any restrictions as to when you can or cannot be at a Primera office?*
If yes, please elaborate.
10. Are you currently a student?*

yesno
11. Are you looking to be a student within the next 9 months?*

yesno
12. Do you have any restrictions as to where you can or cannot work out of?*
If yes, please elaborate.
13. Are you looking for a short-term or long-term position?*

Short-term (3-9 months)Long-term (1-5 years)
14. What is the highest level of education you have?*
Please include anything else you would want us to know about yourself.*
Besides yourself, who do you know that is ready to begin their career?*
If yes, please include name and number.
Should be Empty: