Wingmom IC Pre-Screen Application

Pre-Screening Application to Contract Jobs

Thank you for your interest in contracting with Wingmom. In an effort to find the best place for you within our company, please complete the following pre-screening application.
BEFORE YOU BEGIN

Be advised this may take 10-15 minutes to complete and you will be asked to upload your State License/ID and a recent photo.

You will lose your progress if you close the browser before you hit submit.
Equal Opportunity Company

Wingmom is proud to be an equal opportunity company that is committed to supporting all independent contractors and staff regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Independent Contractor (1099) Position:

This position is that of an Independent Contractor and not of an employee of Wingmom.

Available jobs are posted individually on a job board, for both one-time services, as well as those that may be recurring. The job details as well as the compensation rate are communicated at that time. These jobs are assigned on a first come, first serve basis and no amount of working hours or compensation is guaranteed.

Additionally, as an Independent Contractor you will not be eligible for benefits such as paid time off, overtime pay rates, worker's compensation or other benefits such as insurance.

Lastly, you will be responsible for ALL of your payroll taxes, both at the State and Federal level. Wingmom will issue you a 1099 at the end of the year and you will use that information to determine how much you owe while filling your taxes.
Do you understand and accept that this will be an Independent Contractor position?*

YesNo

Background Checks:

Wingmom requires consent from all their Independent Contractors to conduct a Federal Background Check, which may include a Nationwide Criminal Database Search, Sex Offender Registry Search, Social Security Number Trace and a Statewide Criminal Records Search (7 Years), for the state/county in which you reside.

By giving consent you also acknowledge that you will be responsible for the upfront cost of the background check and agree that, until the results of the background check come back and you do not have any charges on your record that would prohibit you from working with Wingmom clients and their families, you will be unable to accept job assignments with Wingmom.

Lastly, you understand that if you do not give consent, then you will not be permitted to work with Wingmom.
Do you consent to a Federal & State Background Check?*

YesNo

Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Line 2

CityState

Zip Code
Are you over 18 years of age?*

YesNo
Birthdate*

MonthDayYear
Date
Please attach a copy of the FRONT and BACK of your State License or ID*

Browse Files

Cancelof

Wingmom asks for a short bio and current picture of all their Independent Contractors to be shared with Wingmom clients and/or on social media.*

Please ONLY share my bio and picture internally with Wingmom clients.You can share my bio and picture both internally with WIngmom clients and on social media.
Short Bio*
Current Photo*

Browse Files

Cancelof
Emergency Contact Information*
Name, Phone # & Relationship
References:

Please provide 3 character references, at least one professional, that we may contact on your behalf.
Reference #1 Name, Phone Number, Email & Relationship*
Reference #2 Name, Phone Number, Email & Relationship*
Reference #3 Name, Phone Number, Email & Relationship*

Senior Services:

Our Wingmom Senior Services cater to what is often our most vulnerable population and their families.

Because of the nature of these jobs, we ask that you submit a resume below detailing relevant experience and qualifications.

Please note, being new to the type of service does not preclude you from consideration; if you have real life experience caring for others, we are intersted in talking with you.
Upload Your Resume

Browse Files

Cancelof
Are you interested in providing Senior Services?*

YesNo

Handyman Services:

Wingmom Handyman Service include a variety of tasks including basic handyman repairs, painting, moving and dump runs, furniture assembly, yard clean up and home tech such as installing cameras.

Becasue of the nature of these jobs, most Wingmom Branches require a Business License and General Liability Insurance.
Are you interested in providing Handyman services?*

YesNo

Do you have your own supplies/tools/pick-up truck or trailer, etc.?*
Do you have a business license / liability insurance?*
Recount an experience you had with household repairs (either work experience or in a private home).
What handyman jobs do you want to do, have experience with or feel most comfortable doing?
What handyman jobs do you NOT want to do, have experience with or feel comfortable doing?

Theft Policy:

Wingmom values all of their Independent Contractors, employees, clients and their property, and expects that Wingmom Independent Contractors and employees in turn value the company’s and its clients’ assets. Therefore, Wingmom does not tolerate any theft, or stealing of any kind, including but not limited to: fraudulent timesheet reporting, theft of money, tools, inventory or other items, information or ideas that belong to the company or to a Wingmom Independent Contractor, employee, client, or business partner of the company. As such, we expect all incidents of theft to be reported immediately to Wingmom Admin along with any data or information you have observed or obtained.

Any Independent Contractors and/or employees caught breaking any state or federal law, including theft of private or company property or falsifying timekeeping records, will no longer be permitted to work with Wingmom with no warning given. In addition, a police report may be filed, as well as a potential lawsuit against the Independent Contractor and/or employee with a request for restitution of funds or products, inventory or assets. To prevent Independent Contractors and/or employees from false accusations, we will investigate all claims of theft and discipline any Wingmom Independent Contractor or employee making a false accusation.
Do you accept the terms of Wingmom's Theft Policy?*

YesNo
Drug and Alcohol Policy:

Wingmom does not tolerate or condone substance abuse. It is our policy to maintain a workplace free from alcohol and other drug abuse and its effects. Wingmom Independent Contractors and employees who engage in the sale, use, possession or transfer of illegal drugs or controlled substances, or who offer to buy or sell such substances; the use of alcohol during working hours; or the abuse of prescribed drugs will be subject to disciplinary action up to and including no longer being permitted to work with Wingmom with no warning given.
Do you accept the terms of Wingmom's Drug and Alcohol Policy?*

YesNo

By signing below, you are agreeing that the information you have provided is true and accurate to the best of your knowledge.

You also acknowledge that submitting this prescreening application does not guarantee any right to work with or for Wingmom.
Today's Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

	Preferred	Maybe Interested	Not Interested
Senior Services
Babysitting
Personal Assistant
Laundry
Party Assistance
Cleaning
Home Organizing
Transportation
Wingdad Handyman

Pre-Screening Application to Contract Jobs