Application Form First Name Province Zip Primary Phone Middle Name/Initial City Email Alternate Phone Last Name Country Confirm Email ISP Type / Bandwidth All of our projects now require a broadband internet connection, and Cable, DSL, or T1 connections are preferred. If currently using dial-up, is broadband available in your area, and are you readily able and willing to obtain it? ---YesNoAlready Have Operating System ---Windows 95Windows 98Windows MEWindows 2000Windows XPWindows VistaWindows 7MACLinuxOther How often do you use your computer? ---Every DaySeveral Times a WeekSeveral Times a MonthOccasionally Which of the following computer applications can you use/perform independently? (choose all that apply) EmailDatabase ManagementInternet BrowsingProgramming/ Web DesignInstant MessagingWord Processing Are you currently working from home or outside of the home? ---Part TimeFull TimeNot at All Availability - please select the times when you would be most available to work. 6:00am - 8:00am8:00am - 10:00am10:00am - 12:00pm12:00pm - 2:00pm2:00pm - 4:00pm4:00pm - 6:00pm6:00pm - 8:00pm8:00pm - 10:00pm10:00pm - 12:00am12:00am - 2:00am2:00am - 4:00am200am - 4:00am4:00am - 6:00amWeekends includeWeekdays only Ideally, how many hours per week would you like to work with Homeshoring Solutions? Fluent Languages - please select only those in which you are completely fluent. ArabicBengaliCantoneseCreoleEnglishFilipinoFrenchFrench-CanadianGermanHindiItalianJapaneseKoreanMandarinPortugueseRussianSamoanSpanishVietnamese Other language(s) Are you at least 18 years of age? ---YesNo What types of project work most interest you? Inbound Customer ServiceOutbound Customer ServiceInbound Sales- relatedOutbound Sales-relatedTelephone Market ResearchTechnical SupportData EntryBilingual Projects What types of projects are you currently able to work? Call Center(Phone) project onlyData Entry project onlyEither Call Center or Data Entry Please indicate the number of years of experience you have in the following industries or skills: (Please enter values only in the categories where you have experience) Accounting Call Center Quality Customer Service-telephone Legal Market Research Real Estate Technical Support Travel Administrative Assurance Data Entry Human Resources Medical Programming Retail Telemarketing Web Design Call Center Customer Service-facetoface Finance Insurance Marketing Project Management Sales Lead Generation Transcription-multiple Voice Others Level of Education ---Some High SchoolHigh School DegreeSome CollegeBachelor's DegreeSome DegreeGraduate DegreeAssociates Degree Please list any current professional designations, certifications or licenses that may be applicable How did you hear about Homeshoring Solutions? ---Internet SearchWork from home PublicationReferralOthers Referred By (if applicable) Are you primarily interested in: ---Supplementing current jobReplacing current jobPart time income while caring family or self We are always interested in hearing more about what motivates our Agents. Please provide a short paragraph below (50 words or less) telling us why working remotely from home would be valuable to you. The following three optional questions are for statistical purposes only, and will not be considered as part of the hiring process Sex ---MaleFemale Age ---18 - 2425 - 3435 - 4445 - 5565 or over Race ---Asian, Asian American or Pacific IslanderHispanicBlack(not Hispanic)North American Indian or Alaskan NativeWhite (not Hispanic) Please use this space to share any additional information about your experience or skill base that was not mentioned above. You may cut and paste your resume here if it will fit within the allotted 4,000 characters. We are not able to retain separate resumes at this time. [recaptcha]