Instructions: Please copy and paste the following into an email. Use as much space as required to provide complete and specific answers to each question below. Use this form to respond to each question. Attach your resume with this questionnaire and email your response to jobs@hrms.net. Thank you for your time and interest in HRMS.
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HRMS Independent Contractor Internet Instructor Application

Date of Application: xxxxx

Full Name: xxxxx

Social Security Number: xxx-xx-xxxx

Mailing Address: xxxxx

Day Phone: (xxx) xxx-xxxx

Evening Phone: (xxx) xxx-xxxx

E-Mail Address: xxxxx

Alternate Contact: xxxxx

1. How did you learn about this job opening?
Answer: xxxxx

2. What is your current employment situation?
Answer: xxxxx

3. When would you be available to provide services to HRMS?
Answer: xxxxx

4. What are your short and long term career goals?
Answer: xxxxx

5. What are your current work, school, and personal time commitments?
Answer: xxxxx

6. What is your availability in terms of hours, days of week, evenings and weekends?
Answer: xxxxx

7. How many hours per week and what schedule would you prefer to teach? 8. What traveling restrictions do you have?
Answer: xxxxx

9. (Your resume can substitute for the answers to this question if it responsive to all of the information requested below and is submitted simultaneously with this questionnaire).
Answer: xxxxx

a. List in chronological order (beginning with the most recent) your current and last three working/employment assignments. Indicate name of employer, type of business, location, your job title, exact dates of employment (month and year) summary of responsibilities, name and title of supervisor, rate of pay and reason for leaving.
Answer: xxxxx

b. Describe your classroom training experience, length of assignments, courses taught, type of people you trained and any administrative responsibilities.
Answer: xxxxx

c. Describe your educational achievements (after High School) by indicating name of school, dates, majors, degrees earned, certifications and licenses.
Answer: xxxxx

10. How would your rate your level of knowledge and skills in the following areas using the following scale (Excellent; Good; Some; Little, If Any):

a. Microsoft Office

     i. Word: xxxxx

     ii. Excel: xxxxx

     iii. PowerPoint: xxxxx

     iv. Access: xxxxx

b. Microsoft Outlook: xxxxx

c. Windows Operating System: xxxxx

d. Windows 2000: xxxxx

e. Internet Browsers

     i. Internet Explorer: xxxxx

     ii. Netscape Navigator: xxxxx

     iii. AOL: xxxxx

f. PC Hardware: xxxxx

11. Describe your knowledge and work experience with respect to helping people find employment and advance their careers.
Answer: xxxxx

12. What are your favorite uses of the Internet?
Answer: xxxxx

13. Describe your knowledge of the Workforce Development industry.
Answer: xxxxx

14. Describe your general business experience.
Answer: xxxxx

15. What level of supervision do you typically work under?
Answer: xxxxx

16. Describe any other knowledge, skills and abilities that may be valuable for career advancement with HRMS.
Answer: xxxxx

17. Have you ever pleaded guilty to or been convicted of any misdemeanors or felonies (including DUI's and DWI's or other than routine traffic violations)?
Answer: xxxxx

18. Can you show proof of U.S. citizenship?
Answer: xxxxx

PLEASE READ THE FOLLOWING STATEMENTS WHICH ARE CONDITIONS FOR BECOMING AN INDEPENDENT CONTRACTOR

I understand that I'm applying for Internet Instructor assignments with HRMS and that these assignments can be terminated at any time by HRMS. I understand that no representative, other than those specifically authorized by the company, has any authority to enter into any agreement for any specific period of time or to make any agreement contrary to the foregoing. It is my understanding that any verbal representations made to me are not binding upon the company. I understand that an offer to perform Independent Contractor assignments with HRMS may be contingent upon the successful completion of a toxicological test for substance abuse, which also includes alcohol, satisfactory completion of employment experience and degree verifications, and completion of the HRMS "Certification" process. I understand that HRMS may conduct one or more investigative background inquires to obtain information about my current and past activities to evaluate me as an applicant for Independent Contractor. I understand that if any of the above noted contingencies are not successfully completed, or if I have made any false statements on this application, any offer to perform Independent Contractor work will be retracted. Reading, completing and returning this Internet Instructor Application to HRMS indicates my understanding and agreement with the above noted statements and conditions.