Application

Full Name

First NameMiddle NameLast Name

Birth Date

MonthDayYear

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address

example@example.com

Phone Number

Format: (000) 000-0000.

Please indicate if you have any of the following experience.(Call Center, Work from Home ,Customer Service, Technical Support, Sales).

Are you legally eligable to work in the USA?(if yes, verfication will be required.)

What type of equipment do you own?

The duration of certification course is a non-paid period are you able to accept this?

Position Applied

How did you hear about us

Do you know anyone who will benefit for this position?(provide name and phone number)

(Ask about the referral incentive)

Available Start Date

Upload Your Resume

Cover Letter

Please certify that you have the following equipment installed and ready to start servicing:

Statement of Understanding

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for immediate denial of my appointment or removal from consideration or, if I have entered into a contract with this company, for immediate termination of that contract. I authorize Boone Financial Services LLC to make any necessary inquiries and investigations into my education, references, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Boone Financial Services by any of the schools, services, or employers listed on this application.

I also hereby release from liability Boone Financial Services LLC and its representatives for seeking, gathering, and using such information to make decisions concerning my status as an independent contractor for Boone Financial Services, LLC and all other persons or organizations for providing such information.

THIS IS NOT AN APPLICATION FOR EMPLOYMENT. I understand and agree that if this application is accepted, my status will be that of an independent contractor and as such, I will be solely responsible for all tax liabilities pertaining to monies received in the course of services I perform.

If I am retained by Boone Financial Services, LLC as an independent contractor I will:

• not be entitled to workers compensation benefits.

• not be entitled to unemployment insurance benefits unless unemployment coverage is provided by me or some other entity.

• be obligated to pay federal and state income tax on any moneys paid pursuant to the contract relationship.

• be required to provide professional and liability insurance.

I represent and warrant that I have read and fully understand the foregoing, and that I seek to become an independent contractor under these conditions.