Energy Consultant App

Independent Contractor Application

* Indicates required field

Name *

First

Last

Date of Birth *

Social Security # *

Phone Number *

Email *

Address *

Apt *

City *

State *

Zip Code *

Upload a clear pic of your Driver's License, State ID, or Passport *

Max file size: 20MB

Upload a headshot/pic - stand against a solid color wall background, wear a professional shirt, no hats, no headphones, no sunglasses. This should look like a passport or driver's license photo. *

Max file size: 20MB

Upload your direct deposit info - void check or screenshot from bank app showing account # and routing # (optional but highly recommended) *

Max file size: 20MB

Please list the name of the person or company that referred you to apply. *

Have you ever been convicted or plead guilty to a crime? *

If yes, was it a misdemeanor or felony? *

If yes, please explain. *

APPLICANT'S CERTIFICATION *

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application, background checks of my previous employment, criminal records, and driving records as deemed necessary and appropriate by the company and its clients or agents, in their sole and absolute discretion.

Submit