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Part-Time Client Coordinator / Receptionist


1. Complete the Application below.

2. You will receive an email shortly after you submit this form. Please follow all directions.

3. We will contact you for an interview if you are a good fit!
 

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Parent or Guardian's Email Address
Email*
Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
How did you hear about this position?
High School and year of graduation
College, Major and year of graduation if applicable

Employment History

Previous Employer *
From- To *
Salary *
Reason for leaving *
Previous Employer
From- To
Salary
Reason for leaving
Previous Employer
From - To
Salary
Reason for leaving
Our company insists upon excellence in all we do. Please tell me exactly why you should be considered for this position.
What is it about this position that appeals to you? *
What traits and behaviors make you a good candidate for this position?
Link to a 2-minute video introduction (We will not review videos longer than 2 minutes). Feel free to share anything about yourself! If you can't paste it here you can also email it to employment.envision@gmail.com along with your cover letter and resume.
How would you exceed expectations in this role? *
What was your favorite job you ever had? *
Who was your favorite boss you ever had and why? *
Check which hours are you available to work *
Tuesday 10:30am-4:00pm
Tuesday 4pm- 8pm
Wednesday 10:30am-4pm
Wednesday 4pm-8pm
Friday 10:30am-3:00pm
Friday 3pm- 7pm
Saturday 10:30-4:00pm
Available other hours if needed
If hired when could you start? *
Anything else we should know?
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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