Name* First Last Present Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone w/ Area Code*Email* Referred By*Are you 18 years of age or older?*YesNoAvailable Start Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920I prefer to work:*Part-Time (25-29 Hrs/Week)Full-Time (30-40 Hrs/Week)Number of hours per week preferred:*Employment DesiredPosition Desired*Salary Desired*Are you employed now?*YesNoIf so, can we call your present employer?*YesNoHave you ever applied at Excel before?YesNoIf yes, when?Where?Employment BackgroundHave you ever worked for an answering service?*YesNoIf yes, when and where:If no, are you familiar with the job description of an Answering Service Agent?*YesNoWe are a 24 Hour Answering Service and all agents are expected to be available to work weekends and holidays. Are you able to do this?*YesNoDo you have any previous experience in customer service training?*YesNoIf yes, when and where:*We require a minimum of 25 hours per week. Are you able to do this?**YesNoEducationHigh SchoolName of SchoolLocation of SchoolYears CompletedDid You Graduate?Subjects Studied and Degree(s) ReceivedCollegeName of SchoolLocation of SchoolYears CompletedDid You Graduate?Subjects Studied and Degree(s) ReceivedBusiness or Correspondence SchoolName of SchoolLocation of SchoolYears CompletedDid You Graduate?Subjects Studied and Degree(s) ReceivedProfessional InformationTyping Speed*Computer Skills*Other SkillsDo you speak multiple languages?YesNoIf yes, please list them.List professional societies, organizations, memberships, etc. to which you belong.(Exclude those which indicate race, color, religion, age, national origin, sex, handicap, marital status, or veteran status)Former Employment(List below your last three employers, starting with the most recent first.)Name of EmployerCityStateBeginning Date Ending Date Beginning TitleEnding TitleBrief Description of Job DutiesReason for LeavingName of SupervisorSupervisor Phone NumberName of EmployerCityStateBeginning Date Ending Date Brief Description of Job DutiesReason for LeavingName of SupervisorSupervisor Phone NumberName of EmployerCityStateBeginning Date Ending Date Brief Description of Job DutiesReason for LeavingName of SupervisorSupervisor Phone NumberSummarize prior relevant experience, periods of unemployment, or periods not accounted for above.I certify that the answers given and the information provided by me in this application are true and complete. I authorize Excel Telemessaging, Inc. (Excel) to make investigations and inquiries of my personal or employment history to arrive at an employment decision. I hereby release employer, school, and/or any and all other persons from all liability in responding to inquiries relating to my application or suitability for employment by Excel. I understand and agree that false or misleading information given by me in my application, in any interviews, and/or in any resume or other document provided by me in connection with my application for employment may result in denial of employment or in discharge from employment. If offered employment, I understand that such employment is at will, and may be terminated at any time, with or without cause, upon notice, by me or Excel. I further understand that this paragraph constitutes the entire agreement between Excel and myself concerning the duration of my employment by Excel, and that this agreement cannot be modified in any respect except in subsequent writing executed by myself and by Excel. I understand that if employed, I must at all times comply with Excel's standards of work performance and business conduct. Also, I understand that I am required to abide by all rules and regulations of Excel. Failure to do so may result in disciplinary action up to and including termination. I understand that if offered employment, I will be required to show proof of authorization of the right to work in the United States within three working days of my first day of work. I understand that my application for employment will be considered "active" for a period of 90 days from this date. To be considered for employment after that time, I understand I must update the status of this application or reapply for employment. I hereby acknowledge that I have read the above statements and understand them.* Yes, I agree to the above statement EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.