Date:

    Applicant Name:

    Primary Telephone Number:

    Secondary Telephone Number:

    Person Pre-Screening:

    1. Do you have a High School Diploma or GED? (If the answer is NO, do not proceed)

      YesNo

    2. Do you have a good work history?

      YesNo

    3. Can you work in extreme heat in the summer and extreme cold in winter?

      YesNo

    4. Can you pass a criminal background check? (If NO please explain)

      YesNo

    5. Do you have reliable transportation?

      YesNo

    6. Do you have knowledge of principles and procedures for providing good customer and personal services? This includes customer needs, assessment and quality customer service.

      YesNo

    7. Do you have face to face customer service experience?

      YesNo

    8. Do you have professional dress and image?

      YesNo

    9. Are you able to work a flexible shift such as days, evenings, overnights including weekends and holidays?

      10. 0-5 hoursYesNo5-10 hoursYesNo10-15 hoursYesNo