RSC Virtual Staffing Preliminary Intake Questionnaire

First Name *
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Last Name *
N/A
Phone *
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Email *
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DISCLAIMER

We contract with agents within the United States, with the EXCEPTION of: California, Connecticut, Colorado, Illinois, Maryland, Massachusetts, Minnesota, New York, New Jersey, Oregon, Pennsylvania, Vermont, Washington, and Wisconsin.
Address
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Required
Street Address
Address Line 2 Required City Required State Required
Zip Code
Are you 18 years of age or older? *
N/A

Yes
No
Education Level *
N/A

Some High School
High School Graduate
Some College
Associate degree
Bachelor’s degree
Master’s Degree
Type of Position Desired *
N/A

(Check all that apply)
What type of computer do you own? *
N/A

I own a PC
I own a Mac
I own both systems listed

Macs OS and Chromebooks are not compatible with our client systems
N/A

I understand that this work requires a client specific certification course to be completed. * I understand that this work requires a client specific certification course to be completed. Required
Many of the certification classes are 5 days a week, 4 hours a day. What date will you be available to start? *
N/A

dd-MMM-yyyy
N/A

I understand that I will be required to complete a criminal background check which may bar persons with felony charges and any misdemeanors related to theft. * I understand that I will be required to complete a criminal background check which may bar persons with felony charges and any misdemeanors related to theft. Required
N/A

I will be available to work at least 10 hours per week, which will include Saturday and/or Sunday. * I will be available to work at least 10 hours per week, which will include Saturday and/or Sunday. Required
N/A

I understand that I am responsible for providing any and all equipment needed. * I understand that I am responsible for providing any and all equipment needed. Required
Terms and Conditions *
N/A
I confirm that all information provided is complete and true. I understand that by submitting this application I am not guaranteed any form of acceptance, appointment or declaration of a position. I understand that Rambler Solutions Centre reserves the right to remove or deny any persons found to have provided falsifications, misleading details, or omissions of vital details.

THIS IS NOT AN APPLICATION FOR EMPLOYMENT. I understand and agree that if this application is accepted, I understand my status will be that of an independent contractor and as such, I will be solely responsible for all tax liabilities pertaining to monies received in the course of services I perform.

If I am selected by Rambler Solutions Centre as an independent contractor I will:
- Not have any benefits such as but not limited to (Health, Dental, Vision, retirement, overtime, vacation pay, sick pay)
- Not be eligible to unemployment insurance and/or workers compensation benefits
I will be responsible for federal, state and/or local taxes.
I accept the Terms and Conditions.
Signature *
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RSC Virtual Staffing Preliminary Intake Questionnaire

DISCLAIMER

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