EMPLOYMENT

* First Name:

* Last Name:

* Home Phone:

Other Phone:

* Email:

* Present Address:

Apt. #:

* City:

* State:

* Zip Code:

1. Are you legally qualified to work in the US?

Yes
No

2. Do you have a high school diploma or equivalent?

Yes
No

3. Would you consent to pre-employment background checks and verification of your work history?

Yes
No

4. Would you submit to a pre-employment drug test?

Yes
No

5. Have you ever been warned by an employer about being late?

Yes
No

6. Do you think employees often have good ideas to make things run smoother?

Yes
No

7. Have you ever broken company rules because you thought they were unfair?

Yes
No

8. Has your supervisor ever criticized you for poor customer service?

Yes
No

9. Are you generally able to complete assigned work even under a high level of pressure?

Yes
No

10. Do you feel awkward talking to strangers?

Yes
No

11. Do you have a tendency to be late?

Yes
No

12. In the past, have you successfully completed assigned work tasks with little or no supervision?

Yes
No

13. Are you a perfectionist when it comes to doing the details of a job right?

Yes
No

14. Would others say you have excellent customer relations and communication skills?

Yes
No

15. Do you think fast and respond quickly and “on target"?

Yes
No

16. Can you interact with different types of people professionally?

Yes
No

17. Are you a self-starter?

Yes
No

18. Do you have a strong work ethic?

Yes
No

What is your minimum salary expectation?

Format: Numbers Only (EX. $20,000.00 enter as 20000)