EmailMe Form - CG VSC Online Job Application

Application Date *

MM / DD / YYYY

Personal Information

As a reminder and for purpose of clarity, this is an Independent Contractor position with CG & Associates LLC. Should you meet our qualifications, you will be invited to our online testing system via a personal link that will be emailed to you at the email address you provided below. To ensure you receive this email from us, please add: theglobalcgteam@gmail.com to your "Safe List". Serious Inquires Only!

How did you hear about US? *

Who Referred You?

Referring CSR or CSP name

Name *

Prefix First Last Suffix

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

County you reside in: *

Phone Number (landline) *

### - ### - ####

Cell Phone Number *

### - ### - ####

Are you open to receiving text/SMS messages? *

Yes

No

Date of Birth *

MM / DD / YYYY

Email

Are you eligible to work in the United States? *

Yes

No

Position Applied for: *

Days Available *

Hours Available *

Early Morning 12AM - 6AM

Morning 6AM - 12PM

Afternoon 12PM - 6PM

Evening 6PM - 12AM

For specific Day/Hour availability, please enter information below.

What date are you available to start work? *

MM / DD / YYYY

Desired Salary or Hourly Wage *

Input hourly wage, if not salaried.

How many hours can you work per week? *

EDUCATION:

College Degree/Diploma - Graduation Date *

High School/GED Year Graduated *

EMPLOYMENT HISTORY:

Military Affiliation/ Service

Active Duty

Veteran

Spouse

Dependent

Type Of Discharge

Upload Resume

Copy & Paste Resume *

References:
Name/Title Address Phone *

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *