Urban Promotions - Australia's No. 1 coupon booklet company since 1996

Use this form to apply to work from home for Urban Promotions.

First Name

Surname

Address

Suburb

State	Postcode

Phone

Email

Please rate yourself on the following: 1=lowest and 5=highest

Self Confidence	1 2 3 4 5
Work Ethic	1 2 3 4 5
Communication Skills	1 2 3 4 5
Motivation	1 2 3 4 5
Ability to learn new concepts	1 2 3 4 5
Honesty and Integrity	1 2 3 4 5

How did you find out about our work from home program?

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What attracted you to the advertisement?

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How many hours per week are you available to commit to your success?

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What income are you looking at generating as commissions?

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Do you have any of the following at home?

Internet Connection		Yes No
Computer		Yes No
Dedicated Business Line		Yes No
Office / Study		Yes No

Are you currently employed? If yes where?

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Please briefly tell us about your current or most recent position.

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Why did you decide to leave?

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How long were you with the company?

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Have you ever done telemarketing in the past. If yes what did it involve and who for?

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Is there anything further you would like to add that may assist us in reviewing your application.

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If you were successful in our selection process when are you able to start?

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