Box 5 - Credential & W-9 info
Full name as appears on your State Issued ID
Date of Birth
Street Address Line 2
State / Province
Postal / Zip Code
Cell Phone Number
If you do not have a current staff jacket, please indicate your jacket size.
Mens - Small
Mens - Medium
Mens - Large
Mens - X Large
Mens - XX Large
Womens - Small
Womens - Medium
Womens - X Large
Womens - XX Large
Please upload a passport quality & format photo.
No Hats & Sunglasses
Top of shoulders and above
*This can be taken with your cell phone as long as it meets the requirements.
Photo must be under 1000 KB
Please upload your completed W-9 form
Download a W-9 to complete. Click the ">>" to download
Upload your completed W-9
Only the first page needs to be uploaded
Waiver and Hold Harmless
The following Terms & Conditions are required by the insurance companies and by our partner's legal council.
ANSWER ALL QUESTIONS TRUTHFULLY AND COMPLETELY. Candidates may be rejected if they have intentionally made a false statement of a material fact, or have practiced or attempted to practice deception or fraud
Have you ever been arrested?
Have you ever been convicted of a crime involving violence or threat of violence?
Have you ever been convicted of a crime involving criminal activity in drugs or alcoholic beverages?
Have you ever been convicted of a sex-related crime?
Have you been or are you currently on a sex offenders registry?
Have you ever been convicted of any other crime except a minor traffic violation? (Includes Traffic Crimes)
If you answered yes to any of these questions, please provide details
Should be Empty: