DIOGENES LLC - Employment Inquiry Form

Name
Address
City
State
Zip Code
Work Phone
Home Phone
Pager or Cellular
E-mail	(Required)
Social Security Number	(123-45-6789)
Date of Birth***	(01-01-2002)

*** Is only used for identification and criminal history purposes. DOB is not a factor or consideration during the hiring process.

What is the best time to contact you?	MorningLunchtimeAfternoonDinnertimeLate Evening
The best telephone number to call you at is?	HomeWorkCellularPagerE-mail
The highest schooling you completed?	High SchoolVocational - Trade SchoolJunior College4 year CollegeGraduate SchoolProfessional CertificationDid not graduate High School.
Are you currently employed?	NoYes
If yes, full or part time?	Full TimePart Time
Are you seeking full or part timeemployment?	Full TimePart Time
Do you own a car?	NoYes
Do you have a valid driver's license?	NoYes
Do you have access to a computer?	NoYes
Do you have access to the Internet?	NoYes
Are you fluent in a second language?	NoYes
If yes, second language is?

Types of prior employment experiences:

Tell us about yourself.