UX/UI Designer Intake Form (1099p)

UX/UI Designer Intake Form

Please fill out the following information. Once our team has reviewed your information, we'll let you know next steps.
Name*

First NameLast Name
Address*
City*
State / Province*
Postal / Zip Code*
Email*
example@example.com
Phone Number*

Area CodePhone Number
What is your portfolio URL?*
Are you currently employed?*
Answer: Yes or No
What date would you be available to start work?*
Example Date: 8/1/2023
How many hours per week do you have available for The AMG Team?*
Example: 10 hours per week.
What is your hourly rate?*
Please state the hourly rate in U.S. dollars.
What value would you add to The AMG Team?*
Answer with one sentence using less than 250 characters.
What are some unique features of your work history?*
Answer with one sentence using less than 250 characters.
What marketing certifications do you possess today, and when is the last time you renewed each one?*
Certification Examples: Google Analytics, Google Search Ads, Google Display Advertising, Google Shopping Ads, Google Video Ads, Google Mobile Ads, HooteSuite Social Marketing, Hubspot Content Marketing, YouTube, Hubspot Inbound Marketing, Facebook BluePrint, StoryBrand Copywriting, Twitter Flight School, bing Ads, SEMrush SEO Toolkit, Hubspot Email Marketing, etc. Answer with one sentence using less than 250 characters.
How many years of experience do you have as a UX/UI Designer?*
What design software are you proficient in? Please list all.*
Examples: Sketch, Figma, Adobe XD, Illustrator, Photoshop, InDesign, etc.
Please provide a comprehensive list of the platforms you have designed for.*
Examples: Billboards, mailers, email newsletters, social media, etc. Answer with one sentence using less than 250 characters.
How many years of experience do you have with WordPress or a similar CMS?*
What is your experience with HTML/CSS? Please include names of certifications if you have any.*
Answer with one sentence using less than 250 characters.
Please verify that you are human*
Lead Source
List Origin
KRAs Link
Direct Report
Employment Level
Employment Level Position
Relationship Type
AMG Team Title
Should be Empty: