APPLICATION FOR EMPLOYMENT
TELEPHONE RESEARCH INTERVIEWER

Survey Research Associates is an Equal Opportunity Employer.  Should an applicant require reasonable accommodation for the application and/or interview process the applicant should inform the Human Resources Manager.

Personal Information:

Last Name
First Name
Middle Initial
Street Address
City
State
Zip
Home Phone
Cellular Phone Number
Email Address

Are you able to meet the attendance requirements of this position?

Select OneYesNo

Are you legally eligible for employment in the United States?

Select OneYesNo

Type of employment desired:

Part-time Days   Part-time Evenings   Part-time Weekends

Have you been employed here before?

Select OneYesNo

If yes, when?

Have you been convicted of a felony in the past 7 years?

Select OneYesNo

If Yes, please explain:

When are you available to begin work?

Are you a high school graduate or do you hold a GED?

Select OneYesNo

What languages are you fluent in?

English   Spanish   French   Other (please specify)

If you selected other, please specify:

Who is/was your current/most recent employer?

Company
Supervisor
Address
City / State / Zip
Phone

Who was your previous employer?

Company
Supervisor
Address
City / State / Zip
Phone

Please list any other experience you possess that is relevant to performing the position of Telephone Research Interviewer.

References
(Please do not use personal references.  Use professional references.)

Name
Phone Number
Years Known
Name
Phone Number
Years Known
Name
Phone Number
Years Known

Essay

There is a certain amount of rejection you may encounter as a telephone research interviewer.  Please describe below how you would handle rejection of this nature.