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                  Employment Application

                               Fax your completed application to: 317-951-4961

PERSONAL INFORMATION:

First Name _____________________________ Middle ____________________ Last _____________________________

Street Address _______________________________________________________________________________________________

City, State, Zip Code ___________________________________________________________________________________________

Phone Number (___)________________________________ Cell Number (___)_____________________________________

Are you eligible to work in the United States? Yes _______ No_______

If you are under age 18, do you have an employment/age certificates? Yes ___ No ___

Have you been convicted of or pleaded no contest to a felony within the last five years? Yes_______ No_______

If yes, please explain: ____________________________________________________________________________________________

POSITION/AVAILABILITY:

Position Applied For _______________________________________________________

Days/Hours Available Monday ____ Tuesday ____ Wednesday ____ Thursday ____ Friday ____ Saturday ____

Hours Available: from _______ to ______

What date are you available to start work? ________________________________________

EDUCATION:

Name and Address Of School - Degree/Diploma - Graduation Date

_________________________________________________________________

Skills and Qualifications: Licenses, Skills, Training, Awards

_____________________________________________________________

EMPLOYMENT HISTORY:

Present Or Last Position:

Employer: _____________________________________________________

Address:______________________________________________________

Supervisor: ____________________________________________________

Phone: _______________________________ Email: ________________________________

Position Title: _________________________ From: ______________ To: ______________

Responsibilities: ____________________________________________________

__________________________________________________________

Salary: _______________

Reason for Leaving: ____________________________________________

===================================================================================

Previous Position:

Employer: _____________________________________________________

Address:______________________________________________________

Supervisor: ____________________________________________________

Phone: _______________________________ Email: ________________________________

Position Title: _________________________ From: ______________ To: ______________

Responsibilities: ___________________________________________________

__________________________________________________________

Salary: _______________

Reason for Leaving: ____________________________________________

May We Contact Your Present Employer? Yes _____ No _____

References:

Name/Title Address Phone

_________________________________________________________________

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring
me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature______________________________________________________ Date_____________________________

Receivable Recovery Partners, LLC is an Equal Opportunity Employer

Print, Complete and Fax Application to:
Receivable Recovery Partners - Careers - 317-951-4961