Application for Milrich Virtual Professionals LLC
Milrich Virtual Professionals, LLC (The Company) Is An Equal Opportunity Employer. All applicants in the United States are required to complete and submit this Application. The Company does not discriminate on the basis of sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, gender, gender identity, gender expression, physical & mental disability, medical condition, genetic information, military and veteran status, or any other basis protected by federal, state or local law.
Email address *
Legal Name (Last, First, Middle) *
Your answer
Have you ever worked under another name? *
If yes, under what name(s)
Your answer
Complete Home Address (include PO Box, Apt. #, etc. Home Number, Street, City, State, Zip Code and County) *
Your answer
Home Phone: *
Your answer
Business or Other Phone: *
Your answer
E-mail Address: *
Your answer
Position Applying For : JOB TITLE/TYPE OF WORK *
Your answer
Desired Salary: *
Your answer
Available Start Date: *
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Daily Availability (please list the specific times you’re available to work each day) *
Your answer
Total Hours You Would Like To Work Per Week: *
Your answer
How Did You Learn About This Opening? *
Your answer
Desired Employment: *
Have You Worked For Or Applied For A Position At The Company Before? *
If yes, what position(s)?
Your answer
Do You Have Any Relatives Working Here? *
If yes, who?
Your answer
If Hired, Can You Submit Verification Of Your Legal Right To Work In The U.S.? *
Are You Over 18? *
If Under 18, Do You Have A Work Permit?
Education 1 : Institution Name, Address, Major or Field of Study, Length of Study, Did You Graduate and Degree? *
Your answer
Education 2 : Institution Name, Address, Major or Field of Study, Length of Study, Did You Graduate and Degree?
Your answer
Any Professional Designations, Training, Patents, Publications, Computer Skills Related To The Job Sought: *
Your answer
Please List Any Customer Service/Inbound/Outbound/Call Center Experience *
Your answer
Level of Google Suite Experience *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Gmail *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Google Calendar *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Google Docs *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Google Sheets *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Google Forms *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Google Slides *
(1 - none, 2 - novice, 3 - intermediate, 4 - advanced)
None
Advanced
Level of comfort with the following: Outbound calling assignments for between 2-4 hours at a time? *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Rejection from people on the other end of communication *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Speaking with new people daily *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Building rapport *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Working independently *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Working on a team *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
Level of comfort with the following: Utilizing constructive feedback *
1 - not comfortable at all, 2 - a little comfortable, 3 - pretty comfortable, 4 - extremely comfortable)
Not Comfortable at All
Extremely Comfortable
SECURITY
Criminal background checking will be addressed at a later stage in the candidate process in keeping with and to the extent allowed by applicable law
Your answer
For applicants in Florida ONLY: (1) Have you ever been a defendant in a civil action for intentional tort? (An intentional tort is a civil wrong resulting from an intentional act. Examples of an intentional tort include assault, battery, false imprisonment, and intentional infliction of emotional distress.)
(2) If yes, please describe the nature of the intentional tort and the disposition of the action (attach additional sheets if necessary).
Your answer
EMPLOYMENT HISTORY (1) : NAME OF EMPLOYER, ADDRESS/LOCATION, DATES EMPLOYED, TYPE OF BUSINESS, POSITION/TITLE, MANAGER NAME, MANAGER TITLE, PHONE, and REASON FOR LEAVING *
Your answer
EMPLOYMENT HISTORY (2) : NAME OF EMPLOYER, ADDRESS/LOCATION, DATES EMPLOYED, TYPE OF BUSINESS, POSITION/TITLE, MANAGER NAME, MANAGER TITLE, PHONE, and REASON FOR LEAVING *
Your answer
EMPLOYMENT HISTORY (3) : NAME OF EMPLOYER, ADDRESS/LOCATION, DATES EMPLOYED, TYPE OF BUSINESS, POSITION/TITLE, MANAGER NAME, MANAGER TITLE, PHONE, and REASON FOR LEAVING *
Your answer
EMPLOYMENT HISTORY (4) : NAME OF EMPLOYER, ADDRESS/LOCATION, DATES EMPLOYED, TYPE OF BUSINESS, POSITION/TITLE, MANAGER NAME, MANAGER TITLE, PHONE, and REASON FOR LEAVING
Your answer
References: (1) Name, Title, Company, Phone, Email *
List three people (other than relatives) who are in a position to evaluate your previous employment performance, preferably former supervisors or people with whom you have worked. (If applying for a supervisory position, please include one direct report.) *This application does not ask for prior salary history. This complies with regulations in various cities, counties and states prohibiting employers from asking applicants for such information.
Your answer
References: (2) Name, Title, Company, Phone, Email *
Your answer
References: (3) Name, Title, Company, Phone, Email *
Your answer
CERTIFICATION AND RELEASE INITIALS
Please read the below carefully and then initial next to each paragraph. Please sign and date in the space provided at the bottom of this page.
I authorize the Company to verify, in any manner, all statements made by me. The Company may, for example, interview former employers, co-workers, schools, references, or others and request information and supporting documentation such as transcripts and evaluations. *
(type initials below if you accept; type no if not)
Your answer
I authorize any and all former employers, references, or educational institutions to release all information relevant to my employment or education to the Company, without giving me prior notice. *
(type initials below if you accept; type no if not)
Your answer
I release from any liability or responsibility all persons, companies and corporations supplying any information in verifying my statements above, as well as the Company in connection with its obtaining such information for use in verifying my statements above. *
(type initials below if you accept; type no if not)
Your answer
I shall preserve in strictest confidence all information regarding the business or customers of the Company that may be disclosed to me or come to my attention in the process of applying for a position with the Company. *
(type initials below if you accept; type no if not)
Your answer
If employed by the Company, I agree to comply with the Company’s policies and procedures, safety rules, and cooperate in any reasonable security investigation. I understand that I am not employed by or entitled to employment by the Company unless and until I have received and accepted a written offer of employment from a Company representative. I also understand that no other act of the Company, including the acceptance of my application for employment, the scheduling of interviews with me, or any oral or written statements of interest or encouragement, creates an employment relationship with me, and I will not rely on any such act of the Company. I understand that if I am employed by the Company, such employment is at-will, which means that my employment and related compensation may be terminated at any time, with or without cause, and with or without advance notice by me or by the Company. *
(type initials below if you accept; type no if not)
Your answer
I understand that any misrepresentation or omission of fact on this application, my resume, any supplementary materials submitted by me, and interview responses, may be cause for a refusal to hire me or the termination of employment at any time during the period of my employment. *
(type initials below if you accept; type no if not)
Your answer
I have reviewed this application personally, and I agree that all statements I have made on this application, in my resume, and other supplementary materials submitted by me are true and correct. I have not knowingly withheld any information that might adversely affect my chance for employment. *
Electronic Signatures. The parties agree that the electronic signature of a party to this Agreement shall be as valid as an original signature of such party and shall be effective to bind such party to this Agreement. The parties agree that any electronically signed document (including this Agreement) shall be deemed (i) to be "written" or "in writing," (ii) to have been signed and (iii) to constitute a record established and maintained in the ordinary course of business and an original written record when printed from electronic files. Such paper copies or "printouts," if introduced as evidence in any judicial, arbitral, mediation or administrative proceeding, will be admissible as between the parties to the same extent and under the same conditions as other original business records created and maintained in documentary form. Neither party shall contest the admissibility of true and accurate copies of electronically signed documents on the basis of the best evidence rule or as not satisfying the business records exception to the hearsay rule. For purposes hereof, "electronic signature" means a manually-signed original signature that is then transmitted by electronic means; "transmitted by electronic means" means sent in the form of a facsimile or sent via the internet as a "pdf" (portable document format) or other replicating image attached to an e-mail message; and, "electronically signed document" means a document transmitted by electronic means and containing, or to which there is affixed, an electronic signature (Please type your name below if you agree, please type no if you decline)
Your answer
Today's Date *
MM
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YYYY
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