Online Employment Application

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, maternal or veteran status, sexual orientation, or any other legally protected status. Women and minorities are encouraged to apply for employment.
Fields marked (*) are required


Personal Information
 
*Name:  
*Address:  
*City, State Zip:  
*Telephone:  
*Email:  
*SS#:  
Additional Language(s):  
*Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof required upon hiring) No Yes
*Have you ever been convicted of a felony?  No Yes
If yes, Date: Charge:
 

Employment Desired
*Position:
Customer Service
Consumer Collector
Commercial Collector
Insurance Collector
Sales Representative
Help Desk / IT
Data Entry Clerk
Receptionist

*Full time:, or Part time:
Date Available:
Salary Desired:
Are you currently employed?  Yes No
If yes, may we contact your current employer? Yes No
If you have applied to Stuart-Lippman and Associates before, please indicate where and when:
If you have relatives employed by Stuart-Lippman and Associates, please give names:
If you have ever worked for Stuart-Lippman and Associates before, please indicate when and position held:
Do you have any special skills or qualifications related to the position applied for? Please list:


Education & Experience
High School (city & state)

Years enrolled: , Did you graduate?  Yes No

College (city & state)

Years enrolled: , Degree:
Other training courses:


Office Skills
Typing speed (wpm) FDCPA Collection Experience
Shorthand Skiptracing Telemarketing Experience
10 key adding machine MS Word Sales Experience
Dictaphone MS Excel Management Experience
Bookkeeping/Accounting MS Powerpoint Corel Suite
Bank Reconciliation MS Publisher Procomm Plus


Employment History
Employer Name & Address:
Supervisor:
Job Title:
Telephone(s):
Starting pay:
Final pay:
Dates employed:

Duties performed:
Reason(s) for leaving:


Employer Name & Address:
Supervisor:
Job Title:
Telephone(s):
Starting pay:
Final pay:
Dates employed:

Duties performed:
Reason(s) for leaving:


Employer Name & Address:
Supervisor:
Job Title:
Telephone(s):
Starting pay:
Final pay:
Dates employed:

Duties performed:
Reason(s) for leaving:


References

Name:
Telephone:
Years Acquainted:
Name:
Telephone:
Years Acquainted:
Name:
Telephone:
Years Acquainted:

In compliance with the Fair Credit Reporting Act, this is to inform you that a credit investigation involving the statements made on your application may be initiated. In signing this application, you grant us the right to obtain and review your Credit Bureau Report.

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in the application for employment as may be necessary in arriving at an employment decision.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an �at will� nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without case.

I hereby certify that I was promised nothing verbally with regards to salary, hourly wage, vacation time or benefits other that what is written under separate cover or contained herein.

In the event of employment, I understand that false or misleading information given in my application or interview(s) is immediately grounds for termination. I understand also, that I am required to abide by all rules and regulations of the employer.

*I agree to the above statement


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© 2018 Stuart-Lippman and Associates, Inc.

Stuart-Lippman and Associates is a professional debt/claim collection agency. This is an attempt to collect a debt or claim. Any information obtained will be used for that purpose.