WELCOME    
Are you already a Field Rep for Site Service Manager? Click here to find out!  
 
Profile Information
 

* required field
Your name

*First name

MI

*Last name

Social Security #


Organization Name: 
Gender:  DOB: (MM/DD/YYYY) *E-mail Address Alternate E-mail Address
Male Female
*Please re-enter your email address for verification

Mailing address  
*Address Address 2 *City *State *Zip Code
*Phone number Work number Cellphone
()- Ext. ()- Ext. ()-
Alternate number Fax number
()- Ext. ()-
Shipping address, if different from above (Must NOT be a P.O. Box)
Address Address 2 City State Zip Code



* I am interested in:
Merchandising Have Done Interested In
 Special Project   
 Reset   
 Product Cut-in   
 New Store Setup   
 Display Setup   
 Continuity/Product Re-order   
Demo/Event Have Done Interested In
 Product Sampling   
 Product Demonstrations   
 In-Store Promotions   
 Mobile Tours   
 Special Events   
 Modeling   
 Tradeshows   
Mystery Shopping Have Done Interested In
 In-Person Mystery Shopping   
 Phone Shops   

Product Demonstrations.
In-Store Demonstrations
Customer Interviews/Intercepts


* General availability to perform jobs
(check all that apply)

Days
Mornings
before 12 pm
Afternoons
12 pm - 5 pm
Evenings
after 5 pm
All week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Income level

Highest Education Level

Children
 Infants/Toddlers  Male   Female 
 Preschool  Male   Female 
 Elementary School  Male   Female 
 High School  Male   Female 
 Over 18 years old  Male   Female 

Are you currently employed?
 Yes   No
 
If yes, please indicate your occupation:

Work Experience
Management
Other
Financial
Service
Professional
Clerical/Cashier
Technical

Residence
 Homeowner
 Own Condo/Townhouse
 Rent
 Owner Mobile
 Live with Family

Race/ethnicity

Are you able to print from your computer?
 Yes   No

What type of Internet browser do you use?

Search engine or link you used to find us

Have you ever worked as a merchandiser before?
 Yes   No If yes, please tell us about your experience:
 

Have you ever worked as a mystery shopper before?
 Yes   No If yes, please tell us about your experience:
 


Have you ever worked as a demonstrator before?
 Yes   No If yes, please tell us about your experience:
 


* Please write a short paragraph describing yourself in terms of your personality, strengths etc, and your background.



How many miles are you willing to travel?  

Do you own an digital camera?
 Yes    No    

Do you own a computer
 Yes    No    


Upload a photo of yourself

Languages besides English spoken
  French
  Spanish
 Other

* The following questions will help us determine whether you qualify for certain projects. Please answer as accurately as possible.
May we conduct a background check?  
Are you Food Handler Certified?  
Shirt Size Extra Small  
Shirt Size Small  
Shirt Size Medium  
Shirt Size Large  
Shirt Size XL  
Shirt Size XXL  
Shirt Size XXXL or Larger  
Please read the following: