First Name
Middle Name
Last Name
Street Address
City
State
Zip Code
Date of Birth (mm/dd/yyyy)
Gender MaleFemale
Phone Number
Email
Are you over the age of 18 years of age? SelectYesNo
Have you ever been convicted of a felony or a misdemeanor? SelectYesNo
Are you legally eligible to be employed in the United States? SelectYesNo
How did you hear about this career opportunity? FacebookGoogleIndeedOthers
Do you have customer service experience? SelectYesNo
Are you aware that the position you are applying to is a "work from home" position? SelectYesNo
Have you ever worked from home as a customer service agent? SelectYesNo
if yes. what the name of the company you previously worked for?
Why do you want to work from home?
As an agent you will be required to sign a contract that defines expectations. SelectStill interestedno longer interested
This position requires a client specific "certification course" to be completed. SelectStill interestedno longer interested
Are you able to attend the entire Training duration (2-4 hours per day, 2-6 weeks, Mon-Fri) SelectYesNo
The duration of certification course is a non-paid period, are you able to accept this? SelectYesNo
Answering "No" to this question will result in disqualification without response
Are you able to obtain the following?: Desktop/LaptopHigh Speed Internet ServiceLandline Phone / VoIP / Digital / Cable Phone Service (Features disabled)USB/Gaming HeadsetPhone Headset/System (Call Center style phone system)
Are you able to work in secure, noise free area? SelectYesNo
This position allows you to set your own schedule with a minimum of 25 hours per week, are you able to meet that requirement? SelectYesNo
When would you be available to begin? SelectimmediatelyWithin 24 hrsWithin 3-5 days1-2 weeks
(*) I confirm that the information given in this form is true, complete and accurate.
Name
Date (mm/dd/yyyy)
