MDS COMMUNICATIONS

CORPORATION Application for Call Center Representative - Work From

Client: Home - WI - 603212

Application Information
Name Tantoukoute, Nicolas Primary Phone 0022997652329

Secondary Phone Date of Application 11-15-2021

Application ID 603212 Email Address cyberexcellencenico@gmail.com

Address PORTO NOVO, BENIN City, State, Zip Code, PORTO-NOVO, OUEME, 00229, BEN
Country

County (n/a) Referral Source Other

Referral Name Website Driver's License (n/a)

Number

Driver's License State License Expiration Date (n/a)

Education

Employment

References

Questions

Question Group 1

Are you 17 years of age or older? Yes

If offered employment, would you be available for in-person, onsite training at our Yes
facility in Oshkosh, Wisconsin?

If offered employment, can you provide documentation that proves you are legally Yes
authorized to work for this company in the US?

Would you be willing to consent to a criminal background check? Yes

Are you able to effectively read and speak the English language? Yes

Are you willing to spend your workday on the telephone asking for donations from Yes
individuals on behalf of charities like Habitat for Humanity, SAVE the Children,
Operation Smile and Feeding America?

Are you currently a Wisconsin resident? No

Question Group 2

How did you hear about MDS?

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MDS COMMUNICATIONS
CORPORATION Application for Call Center Representative - Work From
Client: Home - WI - 603212

Which statement best describes your call center or telemarketing experience?

How many places have you worked in the last 12 months?

What is the longest period of time you’ve ever worked at one place?

Statement

Acknowledged
No

Signature

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