Career Opportunities @ ValuPlus Merchant Services
Career Opportunity: Application Form


Application for Employment:

So that we might serve you more effectively, please enter your contact information below:

Contact Information:

* Full Name:
Street Address:
State:
City:
Zip:
* Cell Phone:
* Email:
* Required Fields

General Information:

If hired, you may be required to submit proof of your age.
Are you 18 years old or older?      Yes: No:
Do you have a valid Driver’s License?      Yes: No:
License #
State driver's license issued?
CDL?      Yes: No:
If so, CDL type:
Has your License been revoked or suspended in the last three years?      Yes: No:
If so, please give a short explanation:


Education

Highest degree earned:

Major:    Minor:

Please explain awards & accomplishments:


Recent Employment History

1st Company Reference
Length of Time Employed:
From:      To:
Pay:
From: $    Per:  To: $    Per: 

What was your Position/Title? 
Supervisor's Name and Title?  

Explain duties performed & accomplishments at this company:


Please explain your reasons for leaving:


Company Name:  
State:  
Phone (including area code):  


2nd Company Reference
Length of Time Employed:
From:      To:
Pay:
From: $    Per:  To: $    Per: 

What was your Position/Title? 
Supervisor's Name and Title?  

Explain duties performed & accomplishments at this company:


Please explain your reasons for leaving:


Company Name:  
State:  
Phone (including area code):  


3rd Company Reference
Length of Time Employed:
From:      To:
Pay:
From: $    Per:  To: $    Per: 

What was your Position/Title? 
Supervisor's Name and Title?  

Explain duties performed & accomplishments at this company:


Please explain your reasons for leaving:


Company Name:  
State:  
Phone (including area code):  


Personal Reference/Special Knowledge and Skills

List a Personal Reference:
Name:

Relationship:

Phone:

List any specialized knowledge or skills which you bring to your job:


Have you ever been convicted of a Misdemeanor or Felony?
Yes: No:
If yes, please give a brief explanation of the incident:
  (You may be asked for further explanation at a later time.)


Please Read Background Check/Consent Policy:
*  I have read ValuPlus Merchants Association Background Check & Consent Policy and I understand and agree to the terms and conditions thereof.











Career Opportunities @ ValuPlus Merchant Services
Career Opportunities @ ValuPlus Merchant Services

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