Skills
You must have some typing experience in order to perform this job.
Have you had a job where you used a computer before? Yes No
How many words per minute can you type?
Do you have have previous telephone work experience? Yes No
Do you speak a foreign language? Yes No
Foreign language spoken:
How often do you use a computer?
What do you use it for?
Do you have experience reading from unfamiliar scripts? Yes No
Describe briefly:
Do you what 'verbatim' means? Yes No
Provid brief definintion:








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Scheduling Requirements
Hours of operation: Monday - Friday 3:00 PM to 11:00 PM Mountain Time, Saturday and Sunday 11:00 PM to 7:00 PM Mountain Time
All employees must be availiable a minimum of 24 hours per week and work at least one full weekend shift
Can you meet these scheduling requirements? Yes No
How many hours per week do you prefer to work?
Do you have reliable transportation to and from work? Yes No
Explain










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Education
Are you currently enrolled in school? Yes No
What time does your last class of the day end?

	Name and address of school	Area Of Study	Graduated	Years Completed
High School			Yes No
College			Yes No
Other Education			Yes No

Please list any other volunteer work or work study you have done: Page 4/9

Employment History
Start with the most recent first.
Are you currently employed? Yes No

Current or Last Employer
Dates Employed to
Address
Your Job Title Supervisor Phone
Describe your duties
Reason for leaving   
May we contact this employer? Yes No

Employer
Dates Employed to
Address
Your Job Title Supervisor Phone
Describe your duties
Reason for leaving   
May we contact this employer? Yes No

Employer
Dates Employed to
Address
Your Job Title Supervisor Phone
Describe your duties
Reason for leaving   
May we contact this employer? Yes No
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Personal References
Please provide two personal/professional references:
Name: Phone:
Name: Phone:










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Writing Sample
Please Use the space below to tell us why we should consider hiring you.











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EEO Self-Identification Form

Venture Data L.L.C is an equal employment opportunity employer.

The information below is needed to measure the effectiveness of our recruitment efforts and is in conformity with federal government guidelines, which require us to compile statistical information about applicants for employment. You are not required to furnish this information, but are encourage to do so. The law provides that an employer may neither discriminate on the basis of this information nor on whether you choose to furnish it.

Sex Identification? Male Female
Minority Status Identification Caucasian/White (Not Hispanic or Latino) African American/Black Hispanic or Latino Asian (Not Hispanic or Latino) American Indian or Alaskan Native (Not Hispanic or Latino) Native Hawaiian or Other Pacific Islander Two or more races (Not Hispanic or Latino)

Please Check If The Following Categories Are Applicable

Disabled Individual - Any person who (1) has a physical or mental impairment that substantially limits one or more of his/her major life activities: (2) has a record of such impairment, or (3) is ergarded as having such impairment. A disability is "substantially limiting" if it is likely to cause a difficilty in securing, retaining, or advancing in employment.

Vietnam Era Veteran Eligibility - Served in armed forces between August 5, 1964 and May 7, 1975, for more than 180 days of active duty.

Disabled Veteran Eligibility - A veteran with a disablity, service connected or otherwise.

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Applicant Statement

The information I am presenting in this application is true and correct to the best of my knowledge and I understand that any falsification or misrepresentation herein could result in immediate termination of employment. I understand and agree that if hired, my employment will be "at will". That is that either I or Venture Data may end the employment relationship at any time,for any reason, or without cause. In the event of employment, I agree to abide by all company rules, policies, and procedures of Venture Data.

Please click here to certify you have read and agree to the above statement







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