Employment

Application for Independent Contractor/Mystery Shopper Position

Thank you for your interest in becoming a Mystery Shopper! We are always excited about adding new experienced or inexperienced shoppers to our team. To determine the positions that we have available for you, you must fill out the following form in its entirety. If the form is not completely filled out, your information will not be added to our database. After all, Mystery Shoppers need to be thorough, accurate and complete in their work.

PERSONAL INFORMATION:

First Name :

Middle Initial :

Last Name :

Mailing Address :

City :

State :

Zip :

Home Phone :

Work Phone :

Fax Number :

Mobile Phone :

E-Mail Address :

Best time to reach you :

May we call you at work :

Yes No

Call First for Fax? :

Yes No

**Social Security Number :

** This information is for tax purposes only. As an independent contractor, you are responsible for your own taxes. Should you make over $599.99, a FORM 1099 will be issued to you and reported to the IRS.

Age :

Income Range :

Marital Status :

Education :

Ethnic Background :

Do you have reliable transportation? :

Yes No

Do you own a credit card? :

Yes No

**Information used solely for demographic specific shops. For all other shops, David Sparks and Associates does not discriminate on age, sex, race, marital status, education or any other factor.

SHOPPING INFORMATION

Have you ever Mystery Shopped before? : Yes No

If yes, for how long :

If yes, what kind of experience do you have?

   Grocery Yes  No
   Retail/Department Store Yes  No
   Bank-New Account Yes  No
   Bank-Teller Yes  No
   Bank-Investment Yes  No
   Fast Food Yes  No
   Restaurant Yes  No

Other :

If you discovered that you were unable to meet a specified deadline, how would you handle the situation?

List all cities/metropolitan areas that you are able to shop without mileage pay.

Would you like to receive an email notifying you of available shops? :

Yes No

PHYSICAL CHARACTERISTICS:

*Sometimes while Mystery Shopping, stores/businesses claim to know who their Mystery Shopper is. Should you be identified as a Mystery Shopper, you will no longer be able to shop particular locations. By providing the information below, we can determine whether you have indeed been identified. At the same time, this information might help us rule out that you have been identified as a shopper, thereby allowing you to continue shopping your locations.

Hair Color :

Eye Color :

Height :

Weight :

Glasses? :

Yes No

Other distinguishing Characteristics

You will be notified when shops are available in your area. You will always have an opportunity to accept or decline an offer of a shop. Your decision will not be held against you for future shopping projects. If you have agreed to complete a shop and find that you will be unable to do so, you are required to give adequate notice, at least 5 days before the deadline. Failure to do so will result in your name being removed from our shopper database, and you will no longer be able to complete assignments for David Sparks and Associates.

Please add my name to the shopsavailable email list for David Sparks & Associates.
I have read the above paragraph and agree to its terms.