Independent Contractor Application
It is the policy of this facility to provide equal opportunity to persons regardless of race, religion, age, gender, disability or any other classification in accordance with federal, state and local statues, regulations and ordinances.

Application Date: 05/19/2012

I understand by completing this application, it is an application for an opportunity to work as an independent contractor or sole proprietor and not as an employee.
Do you understand this? Yes No

PERSONAL INFORMATION

First Name:
Middle Name:
Last Name:
Present Street Address:
Present Mailing Address:
City:
State:
Zip:
Phone:
E-Mail:
Are you 18 years or older?	YES NO
Date of Birth:
Name of Last School Attended:
Major or Degree Earned:
Date of Completion
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?	YES NO

OPPORTUNITY DESIRED

Type of Work Desired:	Sales Service Technical
Type of Experience	Sales Service Technical
Do you have high speed broadband Internet accessible?	Yes No
What type of Computer do you own?	PC Mac Both Clients supporting Macs are very limited.
Which Windows Version are you using?	Win XP Win 2000 Windows 7 Vista is not supported
How many hours would you like to service per week?
How did you hear about us?
Have you begun the Arise admissions process?	Yes No
If you started the process, please enter your ACP#
Are you aware that you must pass a nationwide criminal background check?	Yes No

Please attach your current Resume.

Attach a Resume File:

CONDITIONS
By submitting this application you are not guaranteed acceptance as an ACP of The Virtual Money
Makers LLC. Once your application is reviewed, we may contact you for a brief phone interview. If you
are accepted as an Independent Contractor ACP, you will be notified by e-mail within 3 business days.
The e-mail will include an Independent Contractor Agreement and IRS W9 form required for finalization of
your acceptance to our VSC.

By selecting "Submit Application", I certify that the information in this application is true and complete for
all practical purposes. It may be verified by the facility or any affiliate. Should an opportunity be offered to
become an Arise Certified Professional under the Virtual Services Corporation of The Virtual Money
Makers LLC and it is later determined that information provided is significantly untrue, incomplete or
misrepresented, I understand and agree that the facility or its affiliates are relieved of all commitments,
financial or otherwise pertinent to contracting, and that all business relationships with The Virtual Money
Makers LLC will be severed without recourse.

AUTHORIZED USE ONLY

Category:
Remarks:
Ranking:
Status:
Start Date:
Position:
Starting Wage:
Starting Date: