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Complete the job application form below and click the "Submit" button when complete. *Required field
     
*First, Middle & Last Name:
*Street Address:
*City:
*State:
*Zip:
*Phone:
Fax:
e-mail:
 Cell Phone:
Referred by:
Advertisement:
     
Math Problems:

The following problems measure your understanding of basic math functions.  You are to check the box in front of the appropriate response.  While you will not be timed, you should complete this section within 3 minutes.

     

1.) 348 + 57 = _____

2.) 43 - 15 = ____
305
395
405 38
415 42
   
 

3.) 28 4 = _____

4.) 3 x 13 = ____
6
7
8 36
9 39
     
5.) 585 + 15 = _____

6.) 4 x 15 = ____
500
590
600 70

610

80
     
     
7.) 495 + 236 = _____

8.) 41 - 19 = ____
731
741
751 21

761

22
     
     
9.) 125 5 = _____

10.) 561 - 77 = ____
15
25
35 484

45

486
     
     
Vocabulary and Spelling Skills  

The following questions measure your understanding of basic vocabulary and spelling. You are to check the box in front of the appropriate response.  While you will not be timed, you should complete this section within 3 minutes.

     
1. ) Which word below is spelled correctly?

2) Which word below is closest in meaning to
the word assemble?

Busness Dismantle
Business Storage
Bisness Warehouse
Biznez Construct
     
3) Which word below is spelled correctly?

4) Which word below is closest in meaning to the word memorandum?

Guarantee Typing
Guarante Manual
Garantee Report
Gaurantee Notice
     
5) Which word below is spelled correctly?

6) Which word below is closest in meaning to the word significant?

Profesional Necessary
Professional Clear
Perfesional Impeccable
Proffessional Important
     
7) Which word below is spelled correctly?

8) Which word below is closest in meaning to the word objective?

Hourly Disapprove
Hourely Goal
Hourlay Diagnose
Houerty Thing
     
9) Which word below is spelled correctly?

10) Which word below is closest in meaning to the word absence?

Retale Attendance
Ritail Ulcer
Retail Vacancy
Ritale Appearance
     
     
Writing Skills  

In the space provided, please write why you feel you would be an asset to this company and what characteristics you possess that differentiates you from other applicants.  Please include at least four to five sentences.

     
     
Education and References  
     

Education: K-12   High School Diploma   Attended College

     
Degrees held:
     
Additional Education:
     
Hobbies/Interests:
     

Please list 2 job references we may contact (provide current contact numbers & extensions):

     
Company:
Employment date -from:
To:
Contact:
Phone number::
Job Title:
Functions:
Reason for leaving:
   
Company:
Employment date -from:
To:
Contact:
Phone number::
Job Title:
Functions:
Reason for leaving:
     

Please give specific details of any sales, telemarketing, or related job experience:

     

Please list three personal references not related to you that we may contact:

     
Name

Relationship

How Long               Phone
     
Computer Survey  

If you own a computer or have computer skills, please answer the following questions.

     
1.) I have a computer Yes No    I am willing to use it for work Yes No    
     

2) What operating system is installed?   XP/Vista/Window 7    Mac       Linux     Other

     

3) How much memory (RAM) is installed?       1GB            2GB           4GB+

     

4) How large is your hard disk drive?      10GB                 100GB              4GB+

     

5) Which peripherals are installed in your computer? (check all that apply)

CD-ROM   Sound Card    Network Card   Modem          
     
6) What is your internet Speed? 28.8k   33.6k   56k   ISDN  DSL  Cable 
     

7) Who is your Internet Service Provider (e.g. Comcast) 

     

8) Which program do you use as a browser? Internet Explorer   Firefox  Other:

     

9) Which program do you use for Email?

Outlook       Gmail        Yahoo        Other:
     

10) What kind of printer do you operate?       Bubblejet        Inkjet        Laser

     

11) Give details of your software applications & computer skills:

     
Your Phone Services Information
     

12) How many phone lines        1 line             2 lines         3 lines or more

     
13) Who is your local phone company?  
     
14) Do you have blocks or restrictions on your long distance service? Yes No
     
15) Are you willing & able to install additional lines at your own cost  Yes No
     
     
     
     
     
 
   
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