The Eleven Agency

Employment Application Form

The Eleven Agency (T11A) Politeness Policy:
T11A’s “Customer Service” business model enables T11A to be known for its outstanding commitment to its customers.
To succeed, we depend on each and every one of our employees and partners to embody the T11A spirit of courtesy.
If I am hired by T11A, I will meet this standard.

I understand that T11A does not allow work to be sub-contracted. If I am hired, I will personally perform all work assigned to me.

Contact information

First name:
Last name:
SSN:	(Required upon hiring)
Mailing Address
Address 1:
Address 2:
City:
State:
ZIP:
Shipping Address (if different from mailing address / PO Box used above):
Address 1:
Address 2:
City:
State
Zip
Home phone number:
Cell phone number:
Email address:
Confirm email:
Education:
Can you speak Spanish?
Program Name as Posted (if applicable)
Source:

When are you available to work?

	Weekdays	Weekends
Mornings:
Afternoons:
Evenings

How far are you willing to travel?	miles
Minimum number of hours a week:	hours
Maximum number of hours a week:	hours

Experience

	No experience	Some experience	Very experienced
Audits
Resets
Plan-o-grams
In-store Demonstrations
POP Placement
Retail Sales
Retail Sales Training
Management Experience
Mystery Shopping

Type of Locations

	No experience	Some experience	Very experienced
Food Service / Restaurant
Convenience
Grocery
Drug Store
Mass Merchant / Club
Computer Electronics
Department Store
Home / Garden Center

List Store Chains you have worked/merchandised in

List Merchandising Companies you have worked for

Resume / Relevant Work History