Employment Application
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1. Personal Information
1
. First Name
First Name
2
. Last Name
Last Name
3
. Address
Address
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
*
4
. Do you have high speed internet, DSL/Cable?
Yes
No
Do you have high speed internet, DSL/Cable?
*
5
. Typing Speed WPM
Typing Speed WPM
*
6
. Tell us about your past work experiences. Please only list past job duties and not past employers.
Tell us about your past work experiences. Please only list past job duties and not past employers.
*
7
. This position requires that you post to online forums. Do you have experience registering to online forums and posting new threads and replies? Please explain your experiences.
This position requires that you post to online forums. Do you have experience registering to online forums and posting new threads and replies? Please explain your experiences.
Yes
No
Please explain
*
8
. This position is a commission based position. You will be paid bi-weekly for you commissions earned. You are not an employee of SucureOnlineSecrets, you will be considered an independent contractor and responsible for paying your own taxes and for maintaining any office equipment required for preforming your task. Do you understand these terms?
This position is a commission based position. You will be paid bi-weekly for you commissions earned. You are not an employee of SucureOnlineSecrets, you will be considered an independent contractor and responsible for paying your own taxes and for maintaining any office equipment required for preforming your task. Do you understand these terms?
Yes
No
*
9
. All training will be provided online. Have you ever received online training and are you able to learn a new task through online training, such as video's and written tutorials?
All training will be provided online. Have you ever received online training and are you able to learn a new task through online training, such as video's and written tutorials?
Yes
No
*
10
. Some task requires that you deal with client's sensitive information. As a result we require that you obtain a background check online. Do you have anything preventing you from passing a background check? If so, please explain.
Some task requires that you deal with client's sensitive information. As a result we require that you obtain a background check online. Do you have anything preventing you from passing a background check? If so, please explain.
Yes
No
If Yes, please explain.
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