Virtual Assistant Application Form

Virtual Assistant & Business Coach Barter-Based Opportunity

This barter opportunity is to help you gain real-world experience, build your portfolio, and receive a testimonial that can help you attract future clients. In return, I’ll provide business coaching to help you grow your VA business with clarity and confidence.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you a new or aspiring Virtual Assistant?*

YesNo
Tell me a little about your VA journey. What inspired you to become a VA?*
Have you worked as a VA before?*

YesNo
If yes, what types of tasks have you done? If no, enter N/A*
What skills do you currently have that you think would help in this role?*
Are there any areas you’d like to learn or improve in? (e.g., email management, social media, admin tasks)*
What are your favorite types of tasks to work on?*
How many hours per week are you available to work?
Do you have flexibility to work within Central Time Zone hours?*

YesNo
What are your top 2-3 goals as a Virtual Assistant?
How do you see this opportunity helping you achieve those goals?
Why do you think this barter opportunity is a great fit for you?
Is there anything else you’d like me to know about you?
Do you have a reliable internet connection?*

I frequently get knocked off Zoom callsI sometimes get knocked off Zoom callsI never get knocked off Zoom calls
Rate your proficiency in the following programs/websites.

Kit (formerly known as ConvertKit)*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

MemberVault*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

WordPress*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Audacity (used for podcast editing)*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

CapCut*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Pinterest*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Descript*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Canva*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Google Drive*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

DropBox*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Vimeo*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

EasyWebinar*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Social Media posting (Insta, Facebook)*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Slack*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Microsoft Excel / Google Sheets*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Microsoft PowerPoint / Google Slides*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Calendly*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Outlook*

	1	2	3	4	5

1 is Not Proficient, 5 is Highly Proficient

Rate your ability in the following skills. Choose 1 for Not great, 2 for Good and 3 for Excellent.

My ability to learn new technology platforms is:*

	1	2	3

1 is Not great, 3 is Excellent

My ability to meet deadlines is:*

	1	2	3

1 is Not great, 3 is Excellent

My ability to meet quick turnaround assignments is:*

	1	2	3

1 is Not great, 3 is Excellent

My English writing and grammar skills are:*

	1	2	3

1 is Not great, 3 is Excellent

Your attention to detail and organizational skills would be described by former employers as:
Are you available to start training during month of January 2025?*

YesNo
Are you available to start immediately and make at least a year commitment?*

YesNo
Please upload your portfolio (if you have one)

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Virtual Assistant & Business Coach Barter-Based Opportunity