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APPLICATION FOR EMPLOYMENT
If you wish to apply for a position with Advanced Business Teleservices, Inc., please fill out the form below or download the PDF version. You can email the PDF to: Cory (corys@abtc.com), Training & Recruitment Coordinator, or mail the completed application to:

Advanced Business Teleservices
P.O. Box 338
Talent, OR 97540

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodations to the application and/or interview process should notify a representative of the Human Resource Department.

Please e-mail a copy of your resume to corys@abtc.com.

Required fields are denoted in bold.

Position applied for: Date of Application:
Name(last, first, middle):
Address(street, city, state, zip code):
Phone Number : Email Address:  
 
Were you referred by a current employee of Advanced Business TeleServices?(If so, name below):
If you are under 18, and it is required, can you furnish a work permit?
Yes No
If no, please explain:
Have you ever been employed here before?
Yes No
If yes, give dates and positions:
Are you legally eligible for employment in this country?
Yes No
Date available for work:
Type of employment desired:
Full-time Part-time Temp Seasonal
Co-Op            
Have you ever pled "guilty" or "No contest" to, or been convicted of a crime?
Yes No
If yes, please provide date(s) and details:

Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
Driver's license number: State:
EMPLOYMENT HISTORY:
Provide the following information of your past four (2) employers, assignments or volunteer activities, starting with the most recent.

Employer: Dates:
Position Title (beginning, ending): Phone #:
Address(street, city, state, zip code):
Immediate Supervisor and Title:
Summarize the nature of work performed and job responsibilities:
May we contact for reference?
Yes No Later
Reason for Leaving:
Hourly Rate/Salary (Starting, ending):

Employer: Dates:
Position Title (beginning, ending): Phone #:
Address(street, city, state, zip code):
Immediate Supervisor and Title:
Summarize the nature of work performed and job responsibilities:
May we contact for reference?
Yes No Later
Reason for Leaving:
Hourly Rate/Salary (Starting, ending):

Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying:
Describe educational background (High School, College, Other, Name, Location and Dates Attended):
Reference Name: Phone #:
Reference Name: Phone #:
Reference Name: Phone #:
APPLICANT STATEMENT
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on the basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United Stated and that federal immigration laws require me to complete an I-9 Form in this regard.

DO NOT SUBMIT UNTIL YOU HAVE READ AND UNDERSTAND THE ABOVE APPLICANT STATEMENT.