Contractor Information 2023

Contractor Information 2023

Austin, Texas
Position
BartenderBanquet ServerCashierCookDishwasherFood RunnerHousekeeperPrep CookWarehouseOther
Personal Information
Full Name*

NombreApellido
Date of Birth*

MonthDayYear
Fecha de Nacimiento
Address*

Street Address

Apt. Number

CityState

Zip Code
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Social Security Number (SSN)
(one digit per space)
   Number*   Number*   Number*   -
Number*   Number*   -
Number*   Number*   Number*   Number*
Upload a photo of a valid U.S. Identification Card*

Cancelof
Upload a photo of your Social Security card (SSN)*

Cancelof
YesNo
YesNo
YesNo
EnglishSpanishOther
YesNo
YesNo
Availability
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Experience
Previous Employment

Previous Position/Role:   Type a label*

Company Name:   Type a label*

Start Date:   Date*

End Date:   Date*

Previous Supervisor Name:   First Name*   Last Name*

Phone Number:   Area Code*   Phone Number*
Certifications
YesNo
YesNo
YesNo
References (if applicable)
Reference Information

Name

Relationship

CompanyPhone Number

Email
Social MediaSearch EngineNewspaperReferralOther
Request for Taxpayer Identification Number and Certification

Form W-9
Check the appropriate box for federal tax classification of the person whose name is entered on line 1.
Individual/sole proprietor or single-member LLCC CorporationS CorporationPartnershipTrust/estateLimited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)Other
If you selected "Limited liability company": Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Exempt payee code (if any)
Exemption from FATCA reporting code (if any)
Independent Contractor Agreement
I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in my release from the company.

I acknowledge and understand that because I am an independent contractor, Prestige Temp Staffing, its subsidiaries, and affiliated companies do not maintain worker’s compensation insurance, general liability or auto liability insurance for contractors or contractor’s employees’ benefit. A Contractor Packet is available upon request. By signing, I agree to all terms and conditions above.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Contractor Information 2023

Position

Personal Information

Availability

Experience

Certifications

References (if applicable)

Request for Taxpayer Identification Number and Certification

Independent Contractor Agreement