YOUR INFORMATION    
                                                              
 Mr./Ms     First    Middle Last      Suffix Jr./ Sr                  
Street Address                            
                   City              State                   Zip                                  
        Telephone                               
        E-Mail Address                              
                                                                                                                                       
        Position Applying For
        Do you have a valid California driver's license. Not required for telemarketers  Yes/No
        Are you a U.S. Citizen  Yes/No
       Have you even been convicted of a felony  Yes/No 
        Have you ever been convicted of a sex offense  Yes/No 
        Have you ever been fired from a job Yes/No 

                                                              Describe position you are looking for
                            

                               Are you:   (Enter a, b, or c in this box)
                               a) Currently employed by a company
                               b) Working for myself
                               c) Unemployed
                             
                               If you are working for yourself, how long has it been since you worked for a company:  
                               a) Less than 30 days             d) More than 30 days             f) More than 2 years
                               c) more than 6 months          e) More than 1 year               g) I never worked for another company
                            
                                                      If you are out of work please state the reason
                           

                          What is your favorite duty in your profession. Example: A plumber may love cleaning drains.
                             
  
                    
                         CURRENT OR MOST RECENT COMPANY YOU WORKED FOR

                        Company Name      Date Hired
                        Date Left/Currently Employed
                      
                        SUPERVISOR OR BUSINESS OWNER
 
                       Mr./Mrs.    First Name    Last Name
                       Date Hired   Date left/Currently employed
                       Street Name
                       City   State    Zip
                       Business Phone    Monthly Earnings
                                                                
                                                                     Describe your Job Skills
                      
                 
                      Reason for leaving company. Did you leave on good terms, were you fired, did you quit
                     

                                                        What did you like about this company
                     

                                Do you have any professional or trade licenses or certifications  
                    

                     Explain, explicitly, what the job function you are seeking. What are your expectations.
                     What will you be doing on a daily basis
                    

                    I enjoy closing sales    Yes/No      
       
                   When closing sales I rate myself as: (Enter a, b, or c in this box)
                  a) Weak  
                  b) Strong 
                  c) One of the best
                  
                 I like being paid (Enter a, b, c, or d in this box)
                 a) Hourly Only
                 b) Hourly as a draw against Bestline's highest commission
                 c) Hourly plus a draw against Bestline's lowest commission
                 d) Guaranteed salary and no commission

                  This question is for canvassers and telemarketers only
                  I like being paid hourly plus a flat fee for each appointment and no commission   Yes/No 

                  Number of years experience in the Trade/Profession you are applying for