Intake Questionnaire
Please fill out the following form to provide your information for the independent contractor position. This form captures details relevant to business operations and technical qualifications.
First and Last Name:*
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address:*
*
example@example.com * CHECK SPAM FOLDER for Updates
City:*
*
State:*
*
Zip Code:*
*
Have you had any previous work from home jobs?
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Yes
No
What remote role are you interested in?
Please Select
Customer Service Representative
Digital Marketing Specialist / Apprentice
Virtual Office Management / Virtual Assistant
Describe your previous relevant experience in the role that you are interested in:*
*
Do you agree to completing a background check and paying the $30 fee, if this is required for the role that you have chosen?
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Yes
No
Do you have a Windows computer and the other work equipment that is required for the opportunity?
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Yes
No
Who is your internet provider?*
*
On a scale of 1 to 5 (1 = not confident, 5 = very confident), how do you rate your communication skills?
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1 (Not confident)
1
2
3
4
5 (Very confident)
5
1 is 1 (Not confident), 5 is 5 (Very confident)
Submit
Should be Empty: