Application for Independent Contractor

Please complete this form in its entirety for consideration.

BASIC CONTACT INFORMATION:
Full name
Other names used
E-Mail Address
Business Name or DBA (preferred) 
Full mailing Address
Phone number

COVER LETTER TEXT

Please use the following space for your cover letter. You may provide a brief introduction to your qualifications.


RESUME TEXT

Please use the following space to cut and paste your resume text if you wish.    Please note that any information not found here MUST be completed below.  You may skip the sections below if that information is included in your resume text.     

Education level
High School
Some College
Completed 2 year degree
Completed 4 year degree
Post graduate degree
Degrees and certifications
High School and higher educations institutions attended (please list name, address, and number of years attended)

EMPLOYMENT BACKGROUND

Current or most recent employer

Employer Name
Employer Address
Employer Phone
Your position or title
Please describe your  responsibilities and duties
Supervisor
Dates of employment (month and year) Start Date End Date
Reason for leaving

Prior employer

Employer Name
Employer Address
Employer Phone
Your position or title
Please describe your  responsibilities and duties
Supervisor
Dates of employment (month and year) Start Date End Date
Reason for leaving

Prior employer

Employer Name
Employer Address
Employer Phone
Your position or title
Please describe your  responsibilities and duties
Supervisor
Dates of employment (month and year) Start Date End Date
Reason for leaving

Prior Employer

Employer Name
Employer Address
Employer Phone
Your position or title
Please describe your  responsibilities and duties
Supervisor
Dates of employment (month and year) Start Date End Date
Reason for leaving

Professional References - You must list three professional references for consideration

Reference Number One

Reference Name
Number of years known
How known
Full address
Phone number

Reference number two

Reference Name
Number of years known
How known
Full address
Phone number

Reference number three

Reference Name
Number of years known
How known
Full address
Phone number
Have you ever worked from home?    Yes      No
Why do you feel that you would be good at this position:

Why is Rich Enterprises, Inc. a good fit for you?
How many hours would you like to work per week?
Are you seeking an hourly position (without commissions)? 
Are you seeking an commission based position (without an hourly rate)?
May we contact your present employer? Yes      No
May we contact your previous employers? Yes      No
May we contact all references listed above?  Yes      No
Have you ever been convicted of a felony? Yes      No
How did you hear about us?
Do you authorize Rich Enterprises, Inc. to pull your credit report?  Yes      No
Is there anything in your background that would cause us to question your honesty, ethics, or integrity? Yes      No
By completing this form, I authorize Rich Enterprises, Inc. to verify any information contained in the application.   I understand that any false statements included in the application can immediately disqualify me for consideration. Yes      No
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