Apply Thank you for applying to Luce Research. Fields marked with a star ( * ) are required. (Please do not use a nickname or shorten your name, it must match your two (2) forms of identification) First Name: * Middle Initial: Last Name: * Street Address: * City: * State: * ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachussettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaGuamNorthern Mariana IslandsPuerto RicoU.S. Minor Outlying IslandsVirgin IslandsNone of the above Zip: * Phone Number (please use dashes): Primary * Secondary Are you at least 18 years of age? * YesNo If not, are you at least 16 years of age? YesNo Have you ever applied to Luce Research before? * YesNo Have you ever worked for Luce Research before? * YesNo Have you ever worked in a call center before? * YesNo Have you ever been convicted of a felony? * YesNo If yes, please describe the nature of the offense and date of conviction: Do you have high speed Internet at home? * YesNo Do you have a computer with Windows 7 or later? * YesNo Do you have a landline or cell phone with unlimited minutes? * YesNo How did you hear about us? (please list first and last name if referred by an employee) Radio Job Fair Flyers Friend Walk-in Sign Newspaper Please specify: Employee Please specify: Employment History (Please list from most recent) Employer: * Phone Number: * Position Title/Duties: * Reason for Leaving: * Dates (start/end): * Supervisor: * Please list any relevant history, alternate language or skills: What is your main transportation method: * BusCarFriendOther I hereby swear that all information listed in this application is correct to the best of my knowledge. Any falsification will result in immediate termination. I also swear to keep any and all information regarding to my employment here or projects work on completely confidential. I understand that any failure to do so can result in legal action. I agree to these terms * Please type your full name: *
