What type of employment do you seek? Driver Customer Service Management Position Anything Available Are you currently Employed? Yes No Do you have a Valid Drivers License? Yes No What type of vehicle do you have? Pick-up Truck Van/SUV Car Does this vehicle have Auto Insurance? Yes No

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What is your current Computer Skill level? None Basic Medium Advanced Do you speak any Foreign Language? No (Yes) Spanish (Yes) Any Other Are you available to work on Weekdays? Yes No Are you available to work on Weekends? Yes No When is the best time to contact you? Morning Afternoon (12AM to 6PM) Evening (After 6PM)

Please use this area to tell us why you feel we should hire you!