Circseller, Inc. Application for Employment SALES REPRESENTATIVE

We consider applicants for all positions without regard to race, color, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

In order to be hired you must be at least 16 years of age.

First and Last Name		Address
		City
Phone # 1		Phone # 2
How did you learn about us?	Advertisement Relative Job Fair Friend Sign out front Other	If friend, relative or other please name here:


*	Are you at lease 16 years of age? YES NO
*	Can you provide required proof of your eligibility to work? YES NO (PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT)
*	Have you ever worked for this company?YES NO If YES, when:
*	Do any of your friends or relatives other than spouse, work here?YES NO If yes, who and relationship:
*	HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS?YES NO
*	IF YES, EXPLAIN (Answering yes does not constitute automatic rejection for employment):
*	DATE AVAILABLE FOR WORK:
*	ARE YOU AVAILABLE TO WORK? AM SHIFT (7:00 AM - 1:00 PM) - PM SHIFT (2:30 PM - 9:00 PM)
*	Please indicate if you need certain days or hours off:

Education

*	HIGH SCHOOL - Name, Address, and years completed
*	COLLEGE - Name, Address, Sstudy, Years& Degree
*	Specialized Skills (Skills/Equipment Operation)TERMINAL PC/MAC WORD PROCESSING TYPEWRITER WPM
*	STATE ANY ADDITIONAL INFORMATION YOU FEEL MAY BE HELPFUL TO US IN CONSIDERING YOUR APPLICATION:

Previous Employment (begin with most recent position)

Company Name #1	ADDRESS
Phone#	SUPERVISOR
POSITION	WORK PERFORMED
DATES EMPLOYED (FROM/TO)	REASON FOR LEAVING
HOURLY RATE/SALARY (STARTING/FINAL)	MAY WE CONTACT?	YES NO

Company Name #2	ADDRESS
Phone#	SUPERVISOR
POSITION	WORK PERFORMED
DATES EMPLOYED (FROM/TO)	REASON FOR LEAVING
HOURLY RATE/SALARY (STARTING/FINAL)	MAY WE CONTACT?	YES NO

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