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Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location? : *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location? : *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location? : *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location? : *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 Job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location?: -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : *

How long is your commute to our location?: -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid driver's license?: * Yes  No 

Do you reside in, and are able to work in, the United States?: * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc): * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

Have you previously worked for a dealership?: * Yes  No 

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid driver's license?: * Yes  No 

Do you reside in, and are able to work in, the United States?: * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc): * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

Have you previously worked for a dealership?: * Yes  No 

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

Have you worked for a dealership previously?: * Yes  No 

How many jobs have you had in the past 5 years?: * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc): * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

Have you worked for a dealership previously?: * Yes  No 

How many jobs have you had in the past 5 years?: * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc): * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have both A and E Maine state inspection licenses?: * Yes  No 

Do you have a valid Driver's License?: * Yes  No 

What ASE Certifications do you have?: *

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid driver's license?: * Yes  No 

Do you reside in, and are able to work in, the United States?: * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs 5 or more jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technicians, etc): * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

Have you previously worked for a dealership?: * Yes  No 

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 - 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in he field you are applying towards? (e.g. sales, marketing, technician, etc): *

How long is your commute to our location?: *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: *

How many years do you have in he field you are applying towards? (e.g. sales, marketing, technician, etc): *

How long is your commute to our location?: *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How many jobs have you had in the last 5 years?: * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 job or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 to 3 jobs 4 to 5 jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Do you have at least 1 year of full time experience working in a long term care facility within the last 3 years?: * Yes  No 

Questionnaire

Are you authorized to work lawfully in the United States?: * Yes  No 

Have you ever worked for Burns Honda or a Burns Kull Automotive Group Dealership in the past? If so, where & when?: *

Why do you think you would be a good fit for this position?: *

Do you have a friend or relative currently working for Burns Honda or Burns Kull Auto Group? If so, please list their name.: *

What are your Salary Expectations?: *

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year of less experience

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

Questionnaire

Do you have a valid license?: * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are you willing to submit to a drug screening test?: * Yes  No 

How long is your commute to our location?: * -- Please Select -- Under 15 minutes 15 to 30 Minutes 30 to 45 minutes 45 minutes to 1 hour Over an hour

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year of less experience

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 job 2 or 3 jobs 4 or 5 jobs or no prior experience More than 5 jobs

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour

Questionnaire

Do you have a valid license? : * Yes  No 

Do you reside in, and are able to work in, the United States? : * Yes  No 

Are willing to submit to a drug screening test? : * Yes  No 

How many jobs have you had in the last 5 years? : * -- Please Select -- 1 Job 2 to 3 Jobs 4 to 5 Jobs or no prior jobs More than 5 jobs

How many years do you have in the field you are applying towards? (e.g. sales, marketing, technician, etc) : * -- Please Select -- 10 or more years 5 to 9 years 2 to 4 years 1 year or less experience

How long is your commute to our location? : * -- Please Select -- Under 15 minutes 15 to 30 minutes 30 to 45 mintues 45 minutes to 1 hour Over an hour