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

Yes
No

3. Do you have a tendency to be late?

Yes
No

4. Would it bother you to leave before the day’s work is finished?

Yes
No

5. Do you think how you look and dress matters to your customers?

Yes
No

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

Yes
No

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

Yes
No

8. Would others say you are a friendly, positive individual who is a good team player?

Yes
No

9. Do you have a valid driver’s license?

Yes
No

10. Do you have a clean DMV report, with no DUI's?

Yes
No

What is your minimum salary expectation?

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