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: *

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: *

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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: *