WELCOME    
Are you already a Field Rep for PS-Stearns? Click here to find out!  
 
Profile Information

SubContracting Co.  
 

* required field
Your name

*First name

MI

*Last name

Social Security #


Organization Name: 
Gender:  DOB: (MM/DD/YYYY) *E-mail Address Alternate E-mail Address
Male Female
*Please re-enter your email address for verification

Mailing address  
*Address Address 2 *City *State *Zip Code
*Phone number Work number Cellphone
()- Ext. ()- Ext. ()-
Alternate number Fax number
()- Ext. ()-
Shipping address, if different from above (Must NOT be a P.O. Box)
Address Address 2 City State Zip Code



* I am interested in
Merchandising Have Done Interested In
 Special Project   
 Reset   
 Product Cut-in   
 New Store Setup   
 Display Setup   
 Continuity/Product Re-order   
Demo/Event Have Done Interested In
 Product Sampling   
Mystery Shopping Have Done Interested In
 In-Person Mystery Shopping   
 Phone Shops   

* General availability to perform jobs
(check all that apply)

Days
Mornings
before 12 pm
Afternoons
12 pm - 5 pm
Evenings
after 5 pm
All week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Highest Education Level

Children
 Infants/Toddlers  Male   Female 
 Preschool  Male   Female 
 Elementary School  Male   Female 
 High School  Male   Female 
 Over 18 years old  Male   Female 

Are you currently employed?
 Yes   No
 
If yes, please indicate your occupation:

Work Experience
Management
Other
Financial
Service
Professional
Clerical/Cashier
Technical

Residence
 Homeowner
 Own Condo/Townhouse
 Rent
 Owner Mobile
 Live with Family

Race/ethnicity

Are you able to print from your computer?
 Yes   No

What type of Internet browser do you use?

Have you ever worked as a merchandiser before?
 Yes   No If yes, please tell us about your experience:
 

Have you ever worked as a mystery shopper before?
 Yes   No If yes, please tell us about your experience:
 


Have you ever worked as a demonstrator before?
 Yes   No If yes, please tell us about your experience:
 


* Please write a short paragraph describing yourself in terms of your personality, strengths etc, and your background.



Please check all the financial products that you currently have.

Note: Our clients sometimes require that shoppers on a specific study have certain types of accounts. The following information is being collected only to determine the qualification for such studies of shoppers registered with us. This information will in no way be shared with any of our clients or anyone outside our company.

Please select the primary 2 vehicles you drive.

Note: Our clients sometimes require that shoppers on a specific study drive certain vehicles. The following information is being collected only to determine the qualification for such studies of shoppers registered with us. This information will in no way be shared with any of our clients or anyone outside our company.
 
Primary Vehicle: Class  Year Make/Model
Secondary Vehicle: Class  Year Make/Model

How many miles are you willing to travel?  

Do you own an digital camera?
 Yes    No    

Do you own a computer
 Yes    No    


Upload a photo of yourself

Languages besides English spoken
  French
  Spanish
 Other

* The following questions will help us determine whether you qualify for certain projects. Please answer as accurately as possible.
Baby Care:  
Baby Food:  
Child Care  
Do you have food safety qualifying certifications?  
Do you have Beverage Sampling certifications?  

Digital camera supports Mini-CD
Please read the following: