Independent Contractor Application Telemarketing

Independent Contractor Application Telemarketing Work From Home

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* Required Fields

Today's Date *

Name *

First

Last

Date of Birth *

Social Security # *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Drivers Licence # or State ID # *

State *

Expiration *

Copy of Drivers License or State ID *

Max file size: 20MB

Previous Employer *

Supervisor's Name *

First

Last

Phone Number *

Job Title *

Reason for leaving *

Date of Employment:

From *

To *

Salary or Hourly rate *

Education- High School/ College Attended *

Year Grad. *

Degree (yes or no) *

Education- High School/ College Attended *

Year Grad. *

Degree (yes or no) *

Business References

Name *

Phone Number *

Business Relationship *

Name *

Phone Number *

Business Relationship *

Referred By

(Please list the name of person or company that referred you to apply here with us.) *

Have you ever been convicted or plead guilty to a crime? *

If yes, was it a misdemeanor or felony? *

Please explain *

Upload Resume *

Max file size: 20MB

___________________________________________ *

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application, background checks of my previous employment, criminal records, and driving records as deemed necessary and appropriate by the company and its clients or agents, in their sole and absolute discretion.

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