Employment Questionnaire
Employment Application Pre-Screening Form
Full Name *
Please enter your full name
Home Address *
Please enter your full address
Phone Number: *
Please enter the best contact phone number to reach you
Email Address *
Please enter the best contact email address
Are you a US Citizen or Legal Permanent Resident ? *
Do you speak English ? *
Do you speak any other languages? (if so, list them) *
Do you possess your own vehicle ? *
Do you have a valid State of California Drivers License ? *
Is your vehicle currently Insured ? *
What is your current job or your last job if now unemployed *
Please describe the position and the Role eg; Sales - Real Estate
Which days and times can you work ? *
Click all days and times that you are able to work reliably
Required
What rate of pay per hour are you expecting ? *
Click on the closest to your minimum hourly rate
Are you comfortable using a computer? *
If so then please list all software applications you have used:
When would you be available to start if you were offered a position ? *
MM
/
DD
/
YYYY
Why would you want to work at Breakout Studios ? *
Please indicate the reason why you would like to work for us
What makes you an asset to our business? *
Please feel free to tell us why you would be a great asset to our team
How do YOU know if you’re doing a good job? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy