Contact Information Last Name
First Name
Address 1
Address 2
city
State
Zip
Home Phone
Work Phone
May we contact you at work YesNo
Cell Phone
Email
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Type
Tax ID
Optional Personal Information
Date of Birth Gender Race education
Experience
How did you hear about StratMar?
Have you overworked for StratMar? YesNo
Past Experience MerchandisingProduct DemonstrationsTake-One PlacementEvent Marketing/TablingRetail Audits Employment Status Part TimeFull TimeOther if "other", Please explain
Availability WeekdaysWeekendsMorningsEvenings
Are you willing to travel YesNo
If Yes how far Less than 2020-4040-60Over 60 Do you have a card table? YesNo Can you stand for 4-8 hours? YesNo Can you lift up to 50 lbs? YesNo Do you own a home computer with internet access OR have unrestricted daily access to a computer with internet access? YesNo Do you own a digital camera? Do you have a cell phone? YesNo Do you have a head shot photo to upload? YesNo Upload photo here
By checking this box, I certify that I am at least 18 years of age and agree to the Terms and Conditions and to allow StratMar to send me email messages with potential assignments.
