Customizing Solutions for our Client-Partner’s unique needs.
Sunday May 11, 2008
Contact Information
Name
Address
Address Continued
City
State
Zip
Phone
Years at Current Address
Previous Address
Address Continued
City
State
Zip
Relations
Are any of your friends or relatives employed at Phoenix Credit Solutions?
Name
Relationship
Select One
Parent
Husband
Wife
Child
Brother
Sister
Friend
Name
Relationship
Select One
Parent
Husband
Wife
Child
Brother
Sister
Friend
Employment Desired
Position Desired
Second Choice
Third Choice
Part Time
Full Time
Permanent
Temporary
Days
Nights
Hours Available
From
To
Will you work:
Saturdays
Sundays
Holidays
On Call
Emergency
Educational Background
Name and Address of Last School Attended
Choose Highest Level of Education:
Elementary
High School
1
2
3
4
5
6
7
8
9
10
11
12
College
1
2
3
4
5
6
Graduated?:
Yes
No
Yes
No
References
Name
Address
Phone
Occupation
Years Known
Employment History/Skills
(List most recent employers, including, service in any of the U.S. Military forces)
Years
Company Name and Address
Position Held
Salary
(per year)
Reason for Leaving
From
To
Military Service
(Branch and Dates)
Honorable Discharge
Select One
Yes
No
Additional Skills/Training:
Personal Information
Hobbies
Activities
Have you served an Apprenticeship?
Select One
Yes
No
How Long
Trade
Have you any sideline business interests
Explain Above:
Have you ever been convicted of a felony?
Select One
Yes
No
Please Explain
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