Contractor Application

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Birth Date

MonthDayYear

Are you a U.S Citizen

How did you hear about us?

Do you have a service company?

What type of service do you offer?

List Company name here.

Add your name if your a sole-proprietor

Do you have your own supplies/equipment?

Do you have reliable transportation?

Do you have Business Insurance?

Please upload a copy of your COI (certificate of Insurance)

Please upload a copy of your W-9 Form.

Skills

list any relevant skills

When can you start?

Date

Have you worked at Happy Dusters, LLC before?

If selected, are you willing to undergo a background check?

Please upload your picture here

By clicking the submit button below, I confirm that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

Signature

Please verify that you are human

Contractor Application: