Employment Application

Please provide the following contact information:

First name

Last name

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

E-mail

What type of position are you interested in?

Sales
Management
Office

Do you have any experience in that field?

No experience
Less than 1 year
1 to 3 years
3 to 5 years
More than 5 years


Do you use any of the following? Select all that apply.

Cellular Phone
Numeric Pager
Alphanumeric Pager
2-Way Radio
Computer

Select all of the following you are familiar with:

Microsoft Word
Microsoft Excel
Microsoft Access
Outlook or Outlook Express
Internet Explorer

Please describe any technical skills you have...


Please describe in detail what type of work you are seeking...


Tell us your strengths... What do you have to offer Intermessage?


Tell us what times are best to reach you...

Anytime at home number
9AM tp 3PM at home number
Evenings at home number
9AM to 3PM at work number
Evenings at work number

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