JMPVA Application Form

* Full Name

* Valid Email address

* Retype email address

* US Phone Number w/ unlimited calling plan: (XXX) (XXX-XXXX)

* Complete Mailing Address
Note: This is a REQUIRED FIELD. We will not consider your application if this is blank.

* What's your preferred assignment? Check all that apply

* What are your skills (minimum 2 years of use, check all that apply)

* Check all that apply

I have wired DSL or Broadband Internet.

I have Pentium 4 or better.

My computer is running on Vista or Windows 7.

I am a college graduate w/ minimum 2 yrs work experience.

I understand I am applying for an Independent Contractor opportunity.

I have used all skills stated witha minimum of 2 years.

I agree to use my personal computer for all work assigned to me and will never use public computers or wireless Internet for work.

I understand and agree that you will verify my credentials and experiences; and will call all my supervisors and references.

I understand that I will need to complete the Belarc and Internet Speed before my application can be processed. Information about these tests are included in the Agreements page.

* Education (degree, college/university, year graduated)
Note: This is a REQUIRED FIELD. We will not consider your application if this is blank.

* Employer 1: Name of Company, position, period of employment,
achievement (if any), reason for leaving, name of supervisor, phone #

* Employer 2: Name of Company, position, period of employment,
achievement (if any), reason for leaving, name of supervisor, phone #

* Employer 3: Name of Company, position, period of employment,
achievement (if any), reason for leaving, name of supervisor, phone #:

Note: This are REQUIRED FIELDS. We will not consider your application if this is blank.

* Professional Reference 1: name, email address, mailing address, phone number, company

* Professional Reference 2: name, email address, mailing address, phone number, company

* Professional Reference 3: name, email address, mailing address, phone number, company

* Who may we thank for referring you to us?

* Indicates Response Required

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