Contractor Information 2023

Contractor Information 2023

San Antonio, Texas
Position
Position of Interest*

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*
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
Are you a United States citizen?*

YesNo
Are you authorized to work in the United States?*

YesNo
Do you have reliable transportation?*

YesNo
What languages do you speak?*

EnglishSpanishOther
Have you previously worked for Prestige Temp Staffing?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Availability
Weekly Availability*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
Experience (if applicable)
Certifications
Are you Food Handler certified?*

YesNo
Are you TABC certified?*

YesNo
Do you have any other relevant certifications/licenses?*

YesNo
References (if applicable)
Reference Information

Name

Relationship

CompanyPhone Number

Email
How did you hear about us?*

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.
Check only ONE of the following seven boxes.*

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 (if applicable)

Certifications

References (if applicable)

Request for Taxpayer Identification Number and Certification

Independent Contractor Agreement