Thank you for applying at Five Star Call Centers.

 Please provide the following information:

First Name:    
  Last Name:    
  Street Address:  
  City:    
  State:  
  Zip Code:    
  Phone Number:    
  E-Mail Address:   
   
  Are you eligible to work in the United States?

 
 
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Five Star Call Centers will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.

  Are you 16 years
of age or older?

 
 
Five Star Call Centers is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age, or military or veteran status in accordance with federal law. In addition, Five Star Call Centers complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. Five Star Call Centers also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.

  In the last 7 years have
you been convicted of
or pleaded guilty to a felony? *

 
 
If yes, please explain:

 
 
 
*(Exclude minor traffic offenses and convictions which have been sealed, impounded, erased, expunged, annulled or nolled)

* PLEASE NOTE: THIS INFORMATION WILL BE USED ONLY FOR JOB-RELATED PURPOSES AND ONLY TO THE EXTENT PERMITTED BY APPLICABLE LAW. CONVICTIONS CANNOT BE GROUNDS FOR AUTOMATIC REJECTIONS NOR DOES IT DISQUALIFY YOU FROM EMPLOYMENT CONSIDERATION.


  Position you are applying for:
 
  Expected hourly rate:
 
  Office location applying for:
 
Have you ever been employed with Five Star Call Centers?

To: