Thank you for your interest in employment at Echo Communications. We are Santa Barbara's premier telephone answering service and provide service to many of Santa Barbara's most important business & medical professionals. We offer flexible hours health and vacation benefits in a relaxed and professional business environment. It's a great job for people new to the work force, students, retirees wanting to work, and people looking for part-time or full-time work. POSITION Entry level telephone operator COMPENSATION $9.50 per hour REQUIREMENTS Basic PC & typing skills Pleasant & professional phone manner Must be able to work one weekend day per week Must be available to sign up for shifts on Holidays BENEFITS Health Insurance Paid Vacation & Birthdays Flexible hours
First Name*	Last Name*
Home Telephone*	Cellular Telephone*
Social Security No.	Email*
Present Address*
City*	State*	Zip*
Permanent Address if different from above Present Address
City	State	Zip
EMPLOYMENT DESIRED
Are you applying for: Full Time Work Part Time Work Either Full or Part Time Work	Are you at least 18 years old? (If you are under 18 yrs old, hire is subject to verification that you are of minimum legal age) Yes No
Can you present evidence of your U.S. citizenship or proof of your legal right to live and work in the United States? Yes No
Are you available to work weekends? Yes No	Are you available to work holidays? Yes No
What days and hours are you available for work (note: must be available weekends): Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday:
How many hours are you looking to work per week?		Salary desired per hour: $
If you are hired, on what date can you start work?
Have you ever applied or worked for Echo Communications before? Yes No   If yes, when?
Do you have any friends or relatives working for Echo Communications? Yes No If yes, state name(s) and relationship
Why are you applying to Echo Communications?
If hired, would you have a reliable means of transportation to and from work? Yes No
Are you able to perform the essential functions of the job for which you are applying? Yes No If no, describe these functions that cannot be performed Note: we comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination and to skill and agility tests.
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more than two years old need not be listed) Yes No If yes, state nature of the crime(s), when and where convicted and disposition of the case (Note: applicant will not be denied employment solely on the grounds of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered).
Are you currently employed? Yes No If yes, may we contact your current employer?
EDUCATION, TRAINING AND EXPERIENCE
High School Name & Address	Years Completed	Did you graduate? Yes No
		Year Graduated
College / University School Name & Address	Years Completed	Did you graduate? Yes No
If yes, what was your degree and field of study and any certifications earned.
Vocational / Business School Name & Address	Years Completed	Did you graduate? Yes No
If yes, what was your degree and field of study and any certifications earned.
Health Care School Name & Address	Years Completed	Did you graduate? Yes No
If yes, what was your degree and field of study and any certifications earned.
Many of our customers (clients) and callers do not speak English. Do you speak, write or understand any foreign language? Yes No   If yes, which language?
Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Echo Communications? Yes No   If yes, please explain.
EMPLOYMENT HISTORY Starting with your most recent employer please list below all present and past employment. Please explain all periods of unemployment. Please complete this section for the last 10 years of even if you are attaching a resume.
Name of Employer	Address of Employer	Type of Business
Your position and duties
Your Supervisor's Name & Title	Supervisors work Telephone No.
Date of Employment From To
Hourly Pay Starting Ending
Reason for leaving:
Name of Employer	Address of Employer	Type of Business
Your position and duties
Your Supervisor's Name & Title	Supervisors work Telephone No.
Date of Employment From To
Hourly Pay Starting Ending
Reason for leaving:
Name of Employer	Address of Employer	Type of Business
Your position and duties
Your Supervisor's Name & Title	Supervisors work Telephone No.
Date of Employment From To
Hourly Pay Starting Ending
Reason for leaving:
Name of Employer	Address of Employer	Type of Business
Your position and duties
Your Supervisor's Name & Title	Supervisors work Telephone No.
Date of Employment From To
Hourly Pay Starting Ending
Reason for leaving:
MILITARY SERVICE Have you obtained any special skills or abilities as a result of service in the military? Yes No If yes, describe
REFERENCES List below three persons not related to you who have knowledge of your work performance within the last three years. Do NOT list friends unless they have worked with you.
Reference 1 Name	Address	Occupation
Telephone	Number of years acquainted	Describe your relationship
Reference 2 Name	Address	Occupation
Telephone	Number of years acquainted	Describe your relationship
Reference 3 Name	Address	Occupation
Telephone	Number of years acquainted	Describe your relationship
Application Validation Security Code
TERMS Please read carefully, by submitting this application you hereby agree to all of the following: I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by name are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize Echo Communications to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application. I further agree, in the event that I am hired by the company, that all disputes that cannot be resolved by informal internal resolution which might arise out of my employment with the company, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regard to dispute resolution, and there are no other agreements as to dispute resolution, either oral or written. I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Echo Communications, and that no promises or representation contrary to the foregoing are binding on the company unless made in writing and signed by me and Echo Communication's designated representative.