VA Position Intake Form

First Name

Last Name

Phone *

Email *

VA Location

Dedicated Computer

Yes

No

Computer Type

Internet Type

Internet Speed (mbps)

Backup Internet

Yes

No

Frequent Power Outages

Yes

No

Backup Power Source

Yes

No

Backup Power Duration

Headset/Mic

Yes

No

Quiet Workplace

Yes

No

Comfortable On Calls

Yes

No

English Proficiency

Prior Call Experience

Yes

No

Prior VA Experience

Yes

No

Real Estate/Property Management Experience

Yes

No

CRM Experience

Google Workspace Comfort

Available Hours (EST)

Salary Expectations

Hours/Week Desired

Currently Employed

Yes

No

Interest Statement (state which position you'd like, and why you're a good fit)

Resume Upload

PDF, DOCX or DOC

LinkedIn

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