Applicant Questionnaire Applicant Questionnaire Date Applicant Name First Last Primary Telephone NumberEmail AddressLooking for full-time or part-time?Full TimePart TimeWhat's the earliest you can arrive for a shift? : HH MM AM PM What's the latest you can stay on a shift? : HH MM AM PM Do you have reliable transportation?YesNoHow many WPM can you type?Last tested:Willing to work holidays and weekends?YesNoDo you have Customer Service experience?YesNoIf yes, please explain:Anything scheduled requiring time off in the next 90 days?YesNoIf yes, please tell what/when.How well do you multitask? Please give examples.How do you perform in fast-paced environments?Do you consider yourself an independent worker or a team worker? Please explain.Are you willing to assist with admin/clerical/custodial duties?YesNoHow do you feel about computers and working on computers?Thank you for your interest in employment with our company. Please be sure to call our job line at 601-420-1190.