Agent Application Form

^* Indicates required field

The name (corporate or personal) entered below must match EXACTLY to the name shown on your income tax return. The name on your W-9 Form must also match.

^*First Name
^*Middle Initial/Name
^*Last Name

Leave this field BLANK unless you are officially incorporated and would be invoicing under this corporation name.
^*Corporation Name

^*Street Address
^*City
^*State / Province
^*Country
^*Zip / Postal Code
^*Primary Phone
^*Alternate Phone
^*Email Address
^*Re-Enter Email Address

Please create a password that you will need to update your application in the future (between 6-20 characters long):
^*Password
^*Re-Enter Password
^*Secret Question

^*Secret Answer

Time Zone
^*ISP Type / Bandwidth

^*All of our projects now require a broadband internet connection, and Cable, DSL, or T1 connections are preferred. If currently using dial-up, is broadband available in your area, and are you readily able and willing to obtain it?

^*Operating System

How often do you use your computer?

Which of the following computer applications can you use/perform independently? (choose all that apply)

	Email
	Internet Browsing
	Instant Messaging
	Word Processing
	Spreadsheet/Database Management
	Programming/Web Design

Are you currently working from home or outside of the home?

Availability - please select the times when you would be most available to work (assuming Central Daylight Time)

	6:00am-8:00am
	8:00am-10:00am
	10:00am-12:00pm
	12:00pm-2:00pm
	2:00pm-4:00pm
	4:00pm-6:00pm
	6:00pm-8:00pm
	8:00pm-10:00pm
	10:00pm-12:00am
	12:00am-2:00am
	2:00am-4:00am
	4:00am to 6:00am
	Weekends included
	Weekdays only

Ideally, how many hours per week would you like to work with Working Solutions?

Fluent Languages - please select only those in which you are completely fluent.

	Arabic
	Bengali
	Cantonese
	Creole
	English
	Filipino
	French
	French-Canadian
	German
	Hindi
	Italian
	Japanese
	Korean
	Mandarin
	Portuguese
	Russian
	Samoan
	Spanish
	Vietnamese

Other language(s)

Are you at least 18 years of age?

What types of project work most interest you?

	Inbound Customer Service
	Outbound Customer Service
	Inbound Sales-related
	Outbound Sales-related
	Telephone Market Research
	Technical Support
	Data Entry
	Bilingual Projects

What types of projects are you currently able to work?

	Call Center (phone) projects only
	Data Entry projects only
	Either Call Center or Data Entry projects

Approximately how many words per minute
can you type accurately?		WPM

Please indicate the number of years of experience you have in the following industries or skills:

(Please enter values only in the categories where you have experience)

Industry	Experience
Accounting		years
Administrative		years
Call Center		years
Call Center Quality Assurance		years
Customer Service (face to face)		years
Customer Service (telephone)		years
Data Entry		years
Finance		years
Human Resources		years
Insurance		years
Legal		years
Medical		years
Marketing		years
Market Research		years
Programming		years
Project Management		years
Real Estate		years
Retail		years
Sales/Lead Generation		years
Technical Support		years
Telemarketing		years
Transcription (multiple voice)		years
Travel		years
Web Design		years

Other


Level of Education

Please list any current professional designations, certifications or licenses that may be applicable

^*How did you hear about us?

^*Specific source

Are you primarily interested in:

We are always interested in hearing more about what motivates our Agents. Please provide a short paragraph below (50 words or less) telling us why working remotely from home would be valuable to you.

The following three optional questions are for statistical purposes only, and will not be considered as part of the hiring process

Sex

Age

Race

Please use this space to share any additional information about your experience or skill base that was not mentioned above. You may cut and paste your resume here if it will fit within the allotted 4,000 characters. We are not able to retain separate resumes at this time.

Some of our projects require background checks, which can include, but are not limited to: credit, criminal, employment history, education/licensing. By submitting this application, you agree to submit to such checks. More specific information will be provided before any background checks are completed.

Please be sure you have entered your email address correctly in both fields, with no spaces, including the @ sign, and the .com, .net, or other appropriate extension. Also, be certain your ISP and email program do not have any restrictions which would reject mail from anyone with an @workingsol.com email address, so you are sure to receive communication from us. Your SPAM blockers should also be set to allow group emails from workingsol.com, as many project notifications are sent to groups of agents, and may look like SPAM to a blocking program. Initial emails will come from agentap@workingsol.com and hr@workingsol.com if you would like to add those to your address book.

Thank you!