Pledge Drive Application

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Can we contact you at the above phone number to conduct a phone interview

What is the best time to contact you?

Are you at least 18 years of age

Are you legally eligible to work in the USA? (If yes verification will be required)

Were you refered to us by a current agent of Pratt's Answering Service?

If you were referred to us by one of our agent please list their name below.

Are you aware that the position you are applying for is a Work from Home position?

Do you have any call center experience

Please describe any call center experience you have .

Have you ever worked from home?

Why do you feel that this would be a good position for you?

What type of position are you seeking?

This position is an "Independent Contractor" position, which means there will be no standard taxes taken from you check, as long as you make over $600 in the year you will get a 1099 NEC form at the begining of the year for tax purposes, are you still interested.

As an "Independent Contractor" if there will be no benefits offered to you are you?

As an Agent of Pratt's Answering Service if you are required to sign a contract that defines expectations between you and our company are you?

This positions requires that you complete a self paced certification course, are you?

The certification course for this position is self paced and you will not be paid while you are completing the course. (The course can be completed within 2 days)

You will be responsible to provide all of your own equipment (compatible computer and USB headset).

Please certify that you have the following equipment installed and ready to service.

There will be a $50 background check fee in order to be considered for this position, are you

Type a question

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 misrepresentation falsification or omission 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 Pratt's Answering Service, LLC to make any necessary inquiries and investigations into my education, references, or employment history, I further anthorize, unless otherwise indicated on this application, the release of my information to Pratt's Answering Service, LLC by any of the schools, service or employers listed on this application

I also hereby release from liability Pratt's Answering Service, LLC and its representatives for seeking, gathering and using such information to make decision concerning my status as an independent contractor for Pratt's Answering Service, LLC and all other persons or organizations fro 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 Pratt's Answering Service, LLC as an Independent contractor I will:

- not be entitled to workers compansation 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

Signature

Pratt's Answering Service - Independent Contractor Application

Statement of Understanding