Pre-Employment Application

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Madison, WI  53718


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Please complete the following information.  Then press the "Submit Application" button at the bottom. You may attach a resume at the bottom of the page. We recommend that you attach an MS-Word document. You have 45 minutes to complete the application.

Title:
Mr. Ms.
First Name: *
Last Name: *
Street Address: *
Address 2:
City: *
State/Prov: *
Zip/Postal Code: *
Phone 1: *
Phone 2:
Phone 3:
E-mail Address: *

We may contact qualified applicants by phone. What is the best time to contact you? (Choose one)
8:30am - 11:30am
11:30am - 2:30pm
2:30pm - 5:30pm

Which phone number should we use first?
Phone 1
Phone 2
Phone 3

How many years of customer service experience do you have?
0 - 1 year
2 - 3 years
4 - 6 years
7 years or more

Are you available to work evenings or weekends?
Evenings
Weekends

Are you able to work overtime?
Yes
No

Main method of transportation?
Have own vechile
Public (city bus/taxi)
Rides from family/friends
none

Where did you learn about this open position? (Indicate the website, job board, referring individual.)


REFERENCES:

Provide two references (no family members):
Reference #1
Name:
Phone Number:
Relationship:

Reference #2

Name:
Phone Number:
Relationship:

EMPLOYMENT HISTORY:

Provide us with your recent employment history:

Employer #1
Employer Name:
Job Title:
From:
To:
Employer #2
Employer Name:
Job Title:
From:
To:
Employer #3
Employer Name:
Job Title:
From:
To:

On what date can you start?
*


RESUME:

Attach your resume here. We accept a maximum file size of 200 KB in MSWord (.doc and .docx), PDFs (.pdf), Plain Text (.txt) and RichText (.rtf) formats. This is JOBID 9733. For additional information visit our FAQ page.



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