Employment Application

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Personal Information

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First Name:
Last Name:
Address:
City:
State/Province:
Zip Code:
Home Number:
Cellular Number:
Email Address:
Verify Email:
Best time to reach you:	Mornings Afternoons Evenings Open

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Employment Information

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Do you want Full time or Part time work?:

Full Time Part Time Open

Please list the days you are available.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Please list the hours you are available.

Mornings Afternoons Evenings Open Hours

Are you currently working?:

Yes No

If yes, please describe.

Please list all the companies you have worked for, including dates and reasons for leaving.

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Technical Information

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Do you have a quiet working environment?:

Yes No

If yes, please describe.

Please select your Internet connection type

Dial-up DSL Cable

Do you have a land line?:

Yes No

If yes, how many land lines?

1 Land Line 2-3 Land Lines 4+ Land Lines

Would you be interested in webcam?:

Yes No

Are you familiar with chat rooms or blogging?:

Yes No

If yes, please explain.

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Call Related Information

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Is there any topic you won't discuss? If so, why?:

Is your personality more Submissive or Dominate?:

Submissive Dominate

Do you have an accent or can you speak another language?:

Yes No

If yes, please explain.

If hired, describe in detail ways in which you would promote yourself and our site.

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Consideration Questions

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Please list your greatest strengths and your strongest weaknesses:.

Please tell us why we should consider hiring you. Explain why you feel you would be an asset to our company?

How Did you hear about our company?

If there is anything else you would like to add, please do so below.