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1434 Culebra Road
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Careers
Join the team that makes up our agency.
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Name
*
First Name
Last Name
Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Northern Mariana Islands
Ohio
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Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
*
Email
*
Are you applying for:
*
Are you applying for:
Full Time
Part Time
Temp
Are you looking to work short term (3-6 months) or long term (9-12 months)?
*
Are you looking to work short term (3-6 months) or long term (9-12 months)?
Short Term
Long Term
Seasonal
Other
If necessary for the position, are you older than:
*
If necessary for the position, are you older than:
Under 18
18 and Over
Are you legally authorized to work in the United States?
*
Are you legally authorized to work in the United States?
Yes
No
Are you able to perform the essential functions of the position with or without accomodations?
*
Are you able to perform the essential functions of the position with or without accomodations?
This job requires you be able to lift/move marketing signage and supplies of up to 30 lbs.
Yes
No
How did you hear about us?
How did you hear about us?
EMPLOYEE
FRIEND
FACEBOOK
PINTEREST
INSTAGRAM
CAREERBUILDER
ZIPRECRUITER
MONSTER
COLLEGE BULLETIN
CRAIGSLIST
INDEED
OTHER
When can you start?
*
MM slash DD slash YYYY
What is your desired pay?
*
Is there any reason you may miss work?
*
Is there any reason you may miss work?
Yes
No
Rate your spanish speaking ability from 1-10, 10 being Expert, 1 being Beginner.
*
Rate your sales ability from 1-10, 10 being Expert, 1 being Beginner.
*
Rate your customer service ability from 1-10, 10 being Expert, 1 being Beginner.
*
Do you like to sell?
*
Do you like to sell?
Yes
No
Do you enjoy customer service?
*
Do you enjoy customer service?
Yes
No
What is the definition of the word initiative?
*
What is the definition of the word punctual?
*
What is your motivation to succeed in your career?
*
What has been your biggest challenge at a workplace?
*
Work History
May we contact your prior employers?
Employer Name
Employer Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor Name
First
Last
Supervisor Phone
Position/Title/Duties/Skills
Pay rate
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for leaving
Highest level of education completed
Highest level of education completed
GED
High School Diploma
Associates Degree
Bachelors Degree
Masters Degree
None of the above
Additional skills, including supervision skills, other languages, or information regarding the career/occupation you wish to bring to the employer's attention
Consent
*
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above. Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.
I acknowledge this information
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