of Rights. Last Name: First: Middle: Please check box if you do not have a middle name. Social Security #: Date of Birth: Email: (This is a required Field) Current Address: Previous Address: Street: Street: Apt or Unit #: Apt or Unit #: City: State: Zip: City: State: Zip: Drivers Lic. #: State Issuing: Former Name/Alias: X Date: Applicant Signature Rev. 05.17.2016 www.wescreenusa.com Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection

Highlights:

• Documentation
• Business Development
• Collection
• Fair Debt Collection Practices
• Management
• Skip Tracing
• Agile Methodologies
• Agile methodology
• Information Technology
• Planning