1.	First Name*

2.	Last Name*

3.	Mailing Address / Apartment #*

4.	City*

5.	State / Province*

6.	Zip / Postal Code*

7.	Telephone Number* (include area code)

8.	Alternate Telephone Number* (include area code)

9.	When is the best time to reach you at the above number(s)?*

10.	Email Address* (if none, please indicate n/a)

11.	Please provide a resume in the space below. Type or paste your resume in text format. For best results, please do not use logos, macros, HTML text, etc. It is very important that you include a resume to assist us in evaluating your qualifications.*

12.	Can you provide proof that you are eligible to work in the United States?*
	Yes No

13.	If required, will you submit to a criminal and credit back ground check?*
	YesNo

14.	What is the highest level of education that you have achieved?*
	High School Diploma or GED Some College or Trade School Associate Degree or Trade School Certificate Bachelor's Degree Master's Degree or Higher

15.	How would your current/previous employer rate your ability to solve complex problems?*
	Fair Good Very Good Excellent

16.	How would your current/previous employer rate your ability to organize and prioritize work?*
	Fair Good Very Good Excellent

17.	How would your current/previous employer rate your verbal communication skills?*
	Fair Good Very Good Excellent

18.	How would you best describe your experience developing rapport with colleagues?*
	None Minimal Moderate Extensive

19.	How would your current/previous employer rate your listening skills?*
	Fair Good Very Good Excellent

20.	Please describe your specific success you have had being a Telemarketer:*

21.	How many years of experience do you have working as a Telemarketer?*
	None Less than 1 year 1 year to less then 3 years 3 years to less then 5 years 5 years or more

22.	What is the average number of outbound calls have you conducted in one day?*

23.	What is your preferred work environment?*
	Work independantly Work with little management Prefer to be managed A combination

24.	Please describe the specific experience you have that would make you the right person for this position.*

25.	Please indicate which of the following software applications you are knowledgeable and experienced.*
	None   Some   Intermediate   Extensive MS Excel         MS Access         MS Word         MS Powerpoint         MS Outlook         Database Applications

26.	How would you rate your experience with database applications?*
	None Minimal Moderate Extensive

27.	What is your comfort level with database applications?*
	Very Comfortable Somewhat Not at all

28.	What is the longest period of time you have worked for the same employer?*
	Less than 1 year 1 year to less than 3 years 3 years to less than 5 years 5 years or more Not applicable - no job experience

29.	What is your current or most recent compensation?* (including commissions and bonuses)
	Less than 25,000 25,000 to 35,000 35,000 to 45,000 more than 45,000

30.	What are your compensation expectations?* (including commissions and bonuses)
	Less than 25,000 25,000 to 35,000 35,000 to 45,000 More than 45,000