Area Representative Application

Thank you for your interest in working with Quest International.
Please fill out and submit the following form to be considered for an
Area Representative position.

First Name
Last Name
Birth Date (YYYY-MM-DD)
Current Address
City/State/Zip
Home Phone
Cell
Email
Best number to reach you during the day?
evening?
How long have you lived in your community?
Previous Address if you have lived here less than 5 years
Do you agree to sign an authorization for a criminal background check?
Present Occupation
Company Name
Address
Phone Number

Have you ever worked as an independent contractor?
What is your work schedule for your present job?
Languages spoken
What is the closest airport to your home?
How far by car?
How did you hear about this position?
Have you ever hosted an exchange student?
Describe your experience/work with students/teenagers
Have you had any training or experience in counseling? If so, please describe
How much time each week/ month do you feel you could commit to this position?
Please list one employer reference, or one supervisor reference from a volunteering position
Please also list up to three personal references (Personal references must not be related to you by blood or marriage)