Employment

APPLICATION FOR INDEPENDENT CONTRACTOR SALES
Position Applying For:*
Date*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Home Phone*
Cell Phone*
Email Address*
Enter Email Confirm Email
Are you a U.S. citizen?*
- Yes
- No
If "no", what is your Nationality?
Social Security Number*
Drivers License Number*
Are you a Veteran?*
If "yes" what was your job description?
Have you ever been convicted of a felony?*
Do you speak a language other than English?*
If "yes", what language?
Level
EDUCATIONAL BACKGROUND
1. School Name
Location
Years Attended
Certificate/Degree Received
Major
2. School Name
Location
Years Attended
Certificate/Degree Received
Major
3. School Name
Location
Years Attended
Certificate/Degree Received
Major
Other training, certificates or licenses
How computer literate are you?
EMPLOYMENT HISTORY
Current Employer:*
Date Started*
Date Format: MM slash DD slash YYYY
Date Ended*
Date Format: MM slash DD slash YYYY
Address of Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Pay Rate*
Last Position Held*
Duties Performed:*
Supervisor’s Name and Title*
Reason for leaving*
May we contact them?*
Previous Employer:*
Date Started*
Date Format: MM slash DD slash YYYY
Date Ended
Date Format: MM slash DD slash YYYY
Address of Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Pay Rate*
Last Position Held*
Duties Performed:*
Supervisor’s Name and Title*
Reason for leaving*
May we contact them?*
Previous Employer:*
Date Started*
Date Format: MM slash DD slash YYYY
Date Ended
Date Format: MM slash DD slash YYYY
Address of Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Pay Rate*
Last Position Held*
Duties Performed:*
Supervisor’s Name and Title*
Reason for leaving*
May we contact them?*
REFERENCES
Name
Title
Company
Phone
Name
Company
Title
Phone
Name
Company
Title
Phone
Do you consider yourself more “task oriented” or “goal oriented”? Explain in 50-100 words.*
Describe your favorite job to date and tell us why you loved it. Explain in 50 -100 words.*
Describe what special qualities that you would enhance The Memorial Times with. Explain below.*
Have you ever owned your own legal FTIN business?*
If “Yes”, Explain type, nature and product of the business that you owned.
Do you work better “alone” or amongst a small, medium or large group of people? Explain.*
Are you a better communicator by telephone or face-to-face? Explain.*
Are you comfortable dealing with dead bodies?*
Are you comfortable operating in a Funeral Home?*
Are you comfortable operating in a Cemetery?*
ACKNOWLEDGMENT and AUTHORIZATION*
- I hereby certify that all of the answers given are true and complete to the best of my knowledge.
- I authorize investigation of all statements contained in this application.
- I understand that if hired, I am an independent contractor, retained to fulfill certain criteria and quota’s which are subject to review and examination to remain in active.
- I understand that false or misleading information given in my application or interview(s) may result in my discharge.

APPLICATION FOR INDEPENDENT CONTRACTOR SALES

EDUCATIONAL BACKGROUND

EMPLOYMENT HISTORY

REFERENCES

Links

Links

Links

Gifts

Gifts

Social Media

Social Media