Customer Service Jobs Training Program Application Form Page 2
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4CUSTOMER SERVICE
JOBS TRAINING PROGRAM
APPLICATION FORM
Application Date:
Orientation Date:
Name:
DOB:
Last 4 of SS#: XXX-XX-
Phone Number:
(cell)
(home)
(other)
Address:
Highest Level of Education:
Which Community Employment Center are you registered with?
Mechanicsville
Richmond (Midlothian Turnpike)
Northside
Petersburg
Where did you learn about the Customer Service Training Program?
TIE
CEC
AARP
PFF
Other
Other
Current Employment
Not Employed
Employed Full Time
Employed Part Time
Employer Name:
Current Wage:
Future Employment Goals
Full Time
Part Time
Desired Salary Range:
Available Hours:
Desired Employer Type
Call Center
Restaurant/Hospitality
Customer Service Representative
Retail/Sales
Health Care
Other
Please select any items which may be an obstacle to employment
Child Care
Criminal Background
Transportation
Other
Why do you want to work in the customer service industry?
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Related Categories
Parent category: Business