Application Form

Independent Contractor Application

Complete and submit the form below and someone will contact you.
Name:

First NameLast Name
Birth Date

MonthDayYear
Phone Number:

Area CodePhone Number
E-mail Address:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?

Other
Have you EVER filed for Bankruptcy?
Have you EVER been convicted of a Crime?
Have you EVER been convicted of a Felony?
Job Skills & Training
Select Highest Education Level
What Social Media platforms are you proficient with?

Other
Are you currently employed? If so, describe your current position.

On a scale of 1 - 5, how proficient/comfortable are you with Microsoft Word?

	1	2	3	4	5

1 is Worst, 5 is Best

On a scale of 1 - 5, how proficient/comfortable are you with Microsoft Excel?

	1	2	3	4	5

1 is Worst, 5 is Best

On a scale of 1 - 5, how proficient/comfortable are you with Adobe Acrobat?

	1	2	3	4	5

1 is Worst, 5 is Best

On a scale of 1 - 5, how proficient/comfortable are you with the Internet?

	1	2	3	4	5

1 is Worst, 5 is Best

On a scale of 1 - 5, how proficient/comfortable are you with Social Media?

	1	2	3	4	5

1 is Worst, 5 is Best

On a scale of 1 - 5, how comfortable/quickly are you able to learn new systems?

	1	2	3	4	5

1 is Worst, 5 is Best

Tell us about yourself, why do you want to become a Travel Planner?
Do you have any sales experience? If yes, tell me about it.
What does "Customer Service" mean to you and how do you feel it may apply when you are a Travel Planner?
Do you have any prior experience as a Travel Planner? If yes, please provide the name of your Host Company(s) that you work/worked for.
What are your long-term goals for your business? (There are no right or wrong answers)
What are your passions and interests outside of traveling? How much time do you have now to enjoy these interests?
Is there anything else you would like to share?
Please list any Training, Certifications, Degrees and Recognition:
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Years Known:
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Years Known:
Upload Resume:

Upload a File

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to an opportunity with Burch Travel LLC, I understand that false or misleading information in my application or interview may result in my contract being terminated.
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Independent Contractor Application