Digital Customer Service Form

Digital Customer Service Form

Training Program Eligibility

• 18 years of age or older

• Eligible to work in the US

• High School Diploma or Equivalent

Email*

Program Application

First Name*

Last Name*

Street Address*

Address Line 2

City *

State*

Select or enter value

Zip Code *

Phone Number *

Phone

Are you a resident of the City of Utica?*

Yes

Have you lived in New York State for at least 1 year?*

Yes

Gender*

Select or enter value

Race

American Indian or Alaska Native

Asian

Black or African American

Caucasian or White

Native Hawaiian or Other Pacific Islander

Two or More Races

Other

Have you served in the US Military?*

Yes

Are you 18 years or older?*

Yes

Date of Birth*

What is your current employment status?*

Currently employed full-time

Currently employed part-time

Unemployed

Number of people in household? *

Select or enter value

Household Income *

Select or enter value

Do you have proof of full vaccination for COVID-19 (2 doses of Moderna or Pfizer or 1 dose Johnson & Johnson)?*

Yes

Are you currently authorized to work in the U.S.?*

Yes

Are you able to provide proof of authorization to work in he U.S. (Ex. Passport, Driver's license, social security car, and/or birth certificate)?*

Yes

Unsure

Do you have the ability to read, speak, and understand English for training and safety purposes?*

Yes

Do you have your high school diploma or equivalent degree?*

High School Diploma

HSE

GED

None

Do you have any other education or training information you would like to share?

Working in a customer service or call center setting requires strong communication to answer customer questions, solve problems and/or handle orders. Can you briefly describe any experience you have working with customers and clients?

Please indicate your experiance level with the following technology using this rating scale:

0= Have not used before

1= Beginner

2= Proficient/advanced

Dual Monitors*

Digital Telephone*

i.e. multi-line office phone system with voicemail

Video Conferencing*

i.e. Zoom, Skype, Facetime, Google

Microsoft Word*

Microsoft Excel *

Microsoft PowerPoint*

Google Docs*

Customer/Client database or entry software*

Email (i.e Microsoft Outlook, Gmail, etc.)*

Upload Current Resume (Optional)

Drag and drop files here or

How did you hear about this program?

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