Answering Service Employment & Jobs | A Personal Answering Service

Company

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Today's Date:*

Personal Information

Full Name:*

First Last

Complete Address:*

Street Address City State ZIP Code

Will you be relocating to Maryland?

YES
NO

When do you anticipate the move, and how long do you plan on residing in Maryland?*

Please note we do not presently offer Remote Agent Positions, all Agents work on site at our Call Center located in Baltimore Maryland. Do you wish to continue completing this Application?*

YES
NO

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Home Phone:

Cell Phone:

Birth Date:

Age:

How did you learn about us?:*

Can we have your e-mail address?:

Typing is required, what is your speed?:*

Do you have a valid driver’s license?:*

YES
NO

Do you have any physical condition which may limit your ability to perform the job applied for?:*

YES
NO

If you chose YES to the question above, please explain:*

Employment Desired

Date you can start:*

Salary desired:*

Are you employed now:*

YES
NO

Are you willing to work any shift, including holidays, nights & weekends?:*

YES
NO

Hours available?:*

Education

High School

Name of High School:*

Location of High School:*

Street Address City State ZIP Code

Last year completed:*

Did you graduate:*

YES
NO

Subjects Studied:*

High School

Name of College:

Location of College:

Street Address City State ZIP Code

Last year completed:

Did you graduate:

YES
NO

Subjects Studied:

High School

Name of Trade or Business School:

Location of Trade or Business School:

Street Address City State ZIP Code

Did you graduate:

YES
NO

Subjects Studied:

Activities:

Any training skills, licenses and/or certificates that may qualify you for the position for which you are applying:

Physical Record

Have you ever been convicted of, sentenced for or in the process of any violation of the law?:

YES
NO

If you answered YES to the question above, please explain:*

Are you presently attending a drug and/or alcohol program at this time?:*

YES
NO

Answering, “Yes” to above questions does not constitute an automatic bar to employment. Factors such as date of offense, seriousness and nature of the violation, rehabilitation & position applied will be taken into account.

References

- Give names & telephone numbers of three persons not related to you, whom you have known at least one year.

Reference Name #1:*

First Last

Reference #1's Phone Number:*

Reference Name #2:*

First Last

Reference #2's Phone Number:*

Reference Name #3:*

First Last

Reference #3's Phone Number:*

Employment Experience

Start with your present or last job. List last three employers.

(1) Date Employed Start Date:*

(1) Date Employed End Date:

(1) Name of Previous Employer:*

(1) Address of Previous Employer:*

Street Address City State / Province / Region ZIP / Postal Code Country

(1) Salary Earned:*

(1) Work Performed:*

(1) Reason for leaving:*

(2) Date Employed Start Date:*

(2) Date Employed End Date:

(2) Name of Previous Employer:*

(2) Address of Previous Employer:*

Street Address City State / Province / Region ZIP / Postal Code Country

(2) Salary Earned:*

(2) Work Performed:*

(2) Reason for leaving:*

(3) Date Employed Start Date:*

(3) Date Employed End Date:

(3) Name of Previous Employer:*

(3) Address of Previous Employer:*

Street Address City State / Province / Region ZIP / Postal Code Country

(3) Salary Earned:*

(3) Work Performed:*

(3) Reason for leaving:*

I HEREBY CERTIFY that my answers to the foregoing questions are true and complete and that I have not knowingly withheld any facts, circumstances or other information which would, if disclosed, affect my application. I further understand that any false or misleading statement or omission of pertinent information will result in the rejection of my application, or in dismissal if discovered subsequent to my employment.

I HEREBY AFFIRM that by execution of the application, I acknowledge that the Company has disclosed to me that an Investigative Consumer Report, including information as to my character, general reputation, personal characteristics, and mode of living may be made; and that I, upon written request to the Company made within a reasonable time after the date of this application, may obtain a complete and accurate disclosure of the nature and scope of the investigation requested.

I HEREBY AUTHORIZE the Company to request, and I ALSO AUTHORIZE AND REQUEST each former employer, school attended, and each person, firm, or corporation given as references above, to furnish at any time, any information which may be sought concerning me and my work habits, character or skill, and any other data required, whether in connection with this application or for purposes of complying with surety company requirements or otherwise.

I HEREBY AFFIRM that by submitting this application I agree to submit to medical evaluations and/or examinations, including tests for the presence of illegal drugs or alcohol, prior to and during employment, within a time period prescribed by the Company and as often as directed during employment.

I HEREBY AUTHORIZE the medical examiner to disclose to the Company any and all findings and conclusions arrived at in any examination performed either prior to employment or during employment.

I UNDERSTAND that should I be given employment, such employment shall be for an indefinite period of time and may be terminated, at will, at anytime, for any reason, by me or by the Company without notice or without liability whatsoever, except for unpaid wages or salary earned by the date of termination.

I UNDERSTAND that if I am employed, the terms and conditions of my employment will be governed by this application and the Company's Terms of Employment and Policy and Procedures, as amended from time to time by the Company.

The Company operates under the principles of affording equal employment opportunity through affirmative action for qualified handicapped individuals, qualified veterans of the Vietnam era and qualified disabled veterans.

All applicants and employees who believe themselves to be members of one or more of these groups, and who wish to identify themselves as such for the purpose of affirmative action consideration are invited to do so.

Submission of this information is voluntary and refusal to provide it will not subject you to discharge or disciplinary treatment. Information obtained concerning individuals shall be kept confidential, except that (1) supervisors and managers may be informed regarding disabled veterans and handicapped individuals, as necessary, (2) first aid and safety personnel may be informed, when and to the extent appropriate, if the condition might require emergency treatment, and (3) governmental officials investigating compliance will be informed.

A Personal Answering Service, Inc. is an Equal Opportunity Employer.

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