Virtual Assistant Application Form

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Country

Your highest degree earned?*

Are you currently working?*

Full-timePart-timeNot at all

What current responsibilities are you actively managing professionally and personally:

Are you working with another client on any kind of project?*

YesNo

I am able to make a commitment to your company and do not have many other work clients or family obligations that would limit my availability M-F, 8 am – 8 pm EST?*

YesNo

I am comfortable leading Zooms (trouble shooting for others, if necessary) with my picture visible and have the ability to be in a quiet work space during hours M-F, 8 am – 8 pm EST?*

YesNo

Do you have a reliable internet connection?*

I frequently get knocked off Zoom callsI sometimes get knocked off Zoom callsI never get knocked off Zoom calls

Rate your proficiency in the following programs/websites.

MailChimp*

Active Campaign*

Mighty Networks*

Canva*

Google Drive*

Microsoft Excel / Google Sheets*

Microsoft PowerPoint / Google Slides*

Calendly*

Outlook*

Rate your ability in the following skills. Choose 1 for Not great, 2 for Good and 3 for Excellent.

My ability to learn new technology platforms is:*

1

2

3

1 is Not great, 3 is Excellent

My ability to meet deadlines is:*

1

2

3

1 is Not great, 3 is Excellent

My ability to meet quick turnaround assignments is:*

1

2

3

1 is Not great, 3 is Excellent

My English writing and grammar skills are:*

1

2

3

1 is Not great, 3 is Excellent

Your attention to detail and organizational skills would be described by former employers as:

We are a platform for people 60 and older, tell us about your connection and experience with older people. *

In a few sentences, your previous employers would describe your reliability and work quality as:

Are you available to start training during month of February 2021?*

YesNo

Are you available to start immediately and make at least a year commitment?*

YesNo

When can you start working?

Date

Please upload your resume*

What is your hourly rate in US dollars?*