Event Representative Application Form

 
Contact information
First name:  
Last name:  
SSN:  (Required upon hiring)
Address:  
Address 2:
City:  
State:  
ZIP:  
Home phone number:  
Cell phone number:  
Email address:  
Confirm email:  
Education:  
Can you speak Spanish?  
Job reference number:
(if applicable)

When are you available to work?
Weekdays Weekends
Mornings:
Afternoons:
Evenings

How far are you willing to travel?  miles
Minimum number of hours a week:  hours
Maximum number of hours a week:  hours

Field sampling experience
No interest No experience Some experience Very experienced
Events
Hotels
Bars / Clubs
Retail Locations
Entertainment (Amustment Parks, Movie Theaters)
Health Clubs
Shopping Malls

Category experience
If you do not wish to work in a particular category, please make sure you select Won't work and you will not be contacted for work in that area.
Won't work No experience Some experience Very experienced
Tobacco
Alcohol / Nightclub
Soft drinks
Hot drinks
Electronics

Notes / Text resume