Non-Eligible States: California,
Connecticut,
Maryland, Massachusetts, New
York, Oregon and Wisconsin
Today's Date
Available Start Date
Position desired:
Please choose one option.
Middle Initial
Last Name
First Name
State
Zip
Address
City        
To avoid delays in payment, please be sure that the social security number is correct.
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Social Security Number
Phone
Alternate Phone
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How did you learn about our company?
Name of Other:
Are you currently employed?
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Education
Please choose your highest level of education.
Area of Study OR Degree (If applicable)
Experience
Please tell us if you have experience in any of the following fields.
Have you ever worked in a call center before?
Language
Is English your primary language?
YES
NO
Please let us know what other languages you speak fluently.
Consent to receive emails from Viquita LLC
Would you like to receive emails for job postings with Viquita, LLC?  If you do not, you will not receive available
opportunity listings.
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Consent to Background Check
Please read and check.  This section must be checked to be considered for any position.
Have you ever been convicted of a crime?
YES
NO
Please understand that a background check is mandatory to service our clients.  By providing your driver's license number and state below,
you will be consenting a background check.
State
Driver's License Number
Date of Birth
YES
NO
Are you 18 years or older?
I understand that Viquita LLC and Arise requires that I pass a criminal background check using an Arise approved vendor.       
I understand that by registering to use the Arise Platform, I will not be an employee of Arise, and the services rendered through the
Arise Platform do not establish any employment rights with Arise.         


I understand that I will be required to provide all services from a physical location within the United States.         


I understand that agents working for call center companies are paid by the call center companies they work for, not Arise.
By submitting this form I agree that all information provided on this employment application for WORK IN MY JAMMIES.COM and
VIQUITA, LLC are true and correct. I also understand that providing false information may lead to termination of employment. I am 18
years or older.
Electronic Signature
Date
VIQUITA, LLC
903 E. 18TH STREET
SUITE 225
PLANO, TX 75071
800.969.5580
info@viquita.com