Express Solutions Job Application
Employer Information
Company: Express Solutions LLC.
Address: 7624 Congress St., New Port Richey, FL 34654
Telephone: 727-203-8204

* It is the policy of Express Solutions LLC. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, national origin, disability, or veterans status.
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Full Legal Name *
 (First, Middle Initial, Last, Suffix)
Address  *
(Street Address, City. State, Zip)
Telephone Number *
E-Mail Address *
Emergency Contact  *
Name
Emergency Contact  *
Telephone Number
How will you get to work? *
Are you able to work a full-time schedule? *
Full time schedule: 
Monday-Friday 9:00am - 5:00pm
What date are you available to start? *
Note: This is not your actual start date.
Just the date you are available for employment.
MM
/
DD
/
YYYY
How many year(s) of telemarketing/ phone sales experience do you have? *
Job History *
In the section below, please list your last 3 jobs, dates worked there, and reason for leaving
Have you EVER been convicted of a crime? (misdemeanor or felony) *
If you have been convicted of crime(s), please list the charge and year(s) below for ALL convictions (adjudication withheld, or not).
If not, leave this section blank
What is your desired Salary? *
How did you hear about us? *
Check the tasks you are COMFORTABLE with, and leave the tasks you are UNCOMFORTABLE with unchecked.
Acknowledgement
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. 
Do you agree to the Acknowledgement Statement? *
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