MOSTRESPONSIVE.COM: Employment Application

$To view this region, you need to install Macromedia\$

Personal Information:
*First Name
*Last Name
*Address
By submitting this application for employment, I certify that I have truthful and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered. I understand that employment with L&S TeleServices is for no definite length of time. I understand that employment may be terminated at any time, with our without cause, at the option of either L&S TeleServices or the employee. I understand that no associate or representative of L&S TeleServices has any authority to make any agreement which is contrary to the foregoing. If accepted for employment, I agree to comply with all company policies and procedures, and with all rules and regulations made known at the time of employment or any other time thereafter; and to perform all duties assigned to me at the best of my ability. L&S TeleServices is an Equal Opportunity Employer.
*City
*State
*Zip Code
Are you age 18 or older?		Yes No
*Home Phone
Cell Phone
E-mail Address
*Social Security Number
*Have you ever worked for L&S either directly or through a temp agency?		Yes No
If yes, when
Employment Information:
*Position Desired
Rate of pay desired
Employment desired		Full time Part time Either
*How did you hear about us?
Name of the current L&S employee that referred you:

*Date you can start
Are you employed now?		Yes No
Education:
High School Graduate?		Yes No
Name/Location of High School
College Graduate?		Yes No
Name/Location of College:
Trade, Business or Correspondence Graduate?		Yes No
Name/Location of school:
Criminal History:
*Have you ever been convicted of a felony?		Yes No
If yes, explain time and nature of conviction(s):
Work Experience:
Most recent or current employer:
May we contact this employer?		Yes No
Address:
City:
State
Zip Code:
Phone Number:
Supervisor:
Employment Dates:
Rate of pay:
Reason for Leaving:
List duties performed, skills used or learned, advancements and promotions while at this company:

Next most recent employer:
May we contact this employer?		Yes No
Address:
City:
State:
Zip Code:
Phone Number:
Supervisor:
Employment Dates:
Rate of pay:
Reason for Leaving:
List duties performed, skills used or learned, advancements and promotions while at this company:

Next most recent employer:
May we contact this employer?		Yes No
Address:
City:
State:
Zip Code:
Phone Number:
Supervisor:
Employment Dates:
Rate of pay:
Reason for Leaving:
List duties performed, skills used or learned, advancements and promotions while at this company:
List any other special skills or abilities that you'd like us to consider:
Describe your experience with computers and software:

Shift Preference:
*Maximum Hours Desired Per Week:
*Minimum Hours Desired Per Week:
What time of day are you available to work?
*Sunday:
*Monday:
*Tuesday:
*Wednesday:
*Thursday:
*Friday:
*Saturday:
EOE