First Name *

Last Name *

Address *

City *

State *

Postal code *

Phone *

Email *

Date Available to Start: *

How did you hear about us? *

Are you available to work overtime? *

YES

Have you ever applied to 24/7 Coastal Contact in the Past? *

YES

Are You 18 Years Old or Older? *

YES

Are You a US Citizen or Legally Approved to Work in the US? *

YES

Will You Be Able to Provide Documentation of Your Citizenship or Legal Status? *

YES

Have you ever been convicted of a felony or misdemeanor? *

YES

If yes, please state the nature of the crime & when & where this happened.

Resume *

Upload A Copy of Your Resume

Do you have any experience in the home care industry? *

If yes, what home care software are you familiar with?

Do you consider yourself computer savvy? *

What Type of Computer Do You Have? Please Specify if it is a Chrome Book.

Do You Have Access to a Printer?

Yes

How many years of experience do you have in Microsoft, excel, word, office, outlook? *

How many years of experience do you have in customer service industry? *

Do you feel you have the ability to work in a fast-paced environment and multitask while working through scenarios in a professional manner? *

Have you ever worked remotely? *

Do you have a quiet workspace? *

Do you have reliable internet service? *

Do you have an external mouse to use instead of the mouse pad on a laptop? If not, would you be willing to purchase one? (Please specify if it will need to be purchased)

Do you have noise CX headphones? If not, would you be willing to purchase a pair? ( Please specify if it will need to be purchased)

Do you have access to a wireless hot spot through your phone or an external device in case of power or internet outage? (If yes, please specify which one)

Does your router have an ethernet port? If not, would you be willing to get one from your internet provider? (Please specify which one)

READ/AGREE WITH THIS STATEMENT: I understand that I will be receiving a call and emails from a staff member of 24/7 Coastal Contact. The purpose of the call is to understand more about the 24/7 Coastal Contact employment process. There is no obligation to accept any offer of employment. You agree to receive automated messages. This agreement is not a condition of employment, nor does it constitute an offer of employment with 24/7 Coastal Contact. Receive up to 2 messages per month. Reply STOP to opt-out or HELP for help. Message & data rates apply. Terms and privacy policy found at https://www.247coastalcontact.com/privacy-policy

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