717-971-6100

Employment Application


Please fill out the application below
* Required.

Name and Address:

First Name: * Last Name: *
  Date of Birth (If under 18):
Last 4 Digits of Social Security #: *
Street Address: * City: *
State: * Zip: *

Home Phone #:

Cell Phone #:   

Work Phone #:

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Position Preferred

What position are you applying for?

You are looking for:

What wage are you expecting?

What date are you available to start?

What hours are you available to work? Please be specific, indicate Start/End

Monday:  Tuesday:
Wednesday: Thursday:
Friday: Saturday:
Sunday: 
Holidays: Overnight:

Do you expect to be with Lancaster Answering Service for more than 1 year?  

How would you rate your computer skills?

About how many words per minute can you type?

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Employment Status

Are you currently employed? FT/PT?

If currently employed, do you plan on continuing that employment?

During the past 5 years, how many different employers have you worked for?

Are you legally eligible to work in the United States?

Have you ever worked under, attended school under, or been known by a different name?

Have you ever been employed by Lancaster Answering Service?

Have you ever been convicted of a felony?

If yes, please explain

Please list your last 3 employments, beginning with the most recent

       
Name of Business Supervisor  Phone # Pay Job Title Reason For Leaving Dates

Please provide information about your highest level of education

Name of School  City/State Level Completed Did You Graduate

Please provide 3 references who are neither related to you nor are previous employers

( Include Name, Phone #, and Relationship )

In a short essay, please tell us why you would be a great customer service representative.

By clicking "Submit" I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  I understand that this application is not intended to be a contract for employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all the rules and regulations of Lancaster Answering Service.