Job Application: Customer Service Rep./Office Asst.

Title: Customer Service Rep./Office Asst.

Fields marked with an asterisk (*) must be filled out before submitting.

– PERSONAL/CONTACT DETAILS –

First Name *
Last Name *
Email Address *
Address *
City *
Zipcode *
Phone *
Attach a Resume
 

– EMPLOYMENT QUESTIONS –

Are you at least 18 years of age? * Yes
No
 
How Did You Learn About this Position?
 
Have you ever been employed with us before? * Yes
No
 
Do any of your friends or relatives work here? * Yes
No
If yes, please list the team member(s).
 
Are you currently employed? * Yes
No
 
May we contact your present employer? * Yes
No
 
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? * Yes
No
 
Date available for work *
 
Desired Employment * Full Time
Part Time
Temporary

– EDUCATION –

High School/GED
Undergraduate College
Graduate/Professional
Other (specify)
 
Do you have a college/technical degree? Yes
No
 
If Yes, what is your degree?
 

– EMPLOYMENT EXPERIENCE (start with most recent/present job) –

Employer Name
Employer Address
Employer Phone
Job Title
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Duties Performed
 
Employer Name
Employer Address
Employer Phone
Job Title
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Duties Performed
 
Employer Name
Employer Address
Employer Phone
Job Title
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Duties Performed
 
Comments About Work History
 
Specialized training, skills, certifications, etc.
 
Additional Information
 

– REFERENCES –

Reference Name
Reference Phone
Years Known
Relationship
 
Reference Name
Reference Phone
Years Known
Relationship
 
Reference Name
Reference Phone
Years Known
Relationship
 

I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

 

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

 

I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an at-will nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause.

 

In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

 


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