ABOUT YOU

First Name

Last Name

Address

Address 2

City

State

Zip

Country

Home Phone

Alt Phone

Email Address

YOUR WORK PREFERENCES

How many hours a week do you want to work?
Select from the list below Less than 10 10 to 20 20 to 30 More than 30

When do you prefer to work?
Check all that apply:
morning
afternoon
evening

YOUR COMPUTER

Do you own a computer?
Yes
No

If you own a computer, what type operating system?
Windows 95
Windows 98
Windows 2000
Windows XP
Macintosh
Other - Type:

Do you have Internet access?
No
Dialup
Cable
DSL
Other - Type:

YOUR WORK ENVIRONMENT

Do you have a quiet area in your home (away from pets and other family members) where you can make calls undisturbed?
Yes
No

If you have kids and you intend to work while they’re home, is there someone else who can take care of them while you’re working?
Yes
No

PRELIMINARY INTERVIEW

Why do you want to work for Performance Advertising?

Have you ever worked in a call center before?
Yes
No

If yes, please describe your experience (including whether it was inbound or outbound, how long you worked there, and what your responsibilities were)

Have you ever worked in sales before?
Yes
No

If yes, please describe your experience (including whether it was inbound or outbound, how long you worked there, and what your responsibilities were)

Do you have any other experience that you think might be relevant?

What is your education level?
Select from the list below Some High School High School Graduate Some College College Graduate Some Post-Graduate Post-Graduate Degree

Describe your computer experience (including how often you use a computer and for what)

How would you deal with a difficult customer?

Have you been convicted of a felony, had adjudication withheld, or pleaded guilty to a lesser charge in the past 7 years?
Yes
No

You understand that if you are accepted, you will not be an employee of Performance Advertising, but will be an independent contractor. You will not receive a salary, but will only get paid when you generate sales or leads. If you are good at telesales, you can make a significant income, but if telesales is not your strength, you will not make much money. Completing this application is not a guarantee of being accepted. If you understand each of these items, please type "I understand" in the following box.