Evaluate It by SQM Application Form

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General Information

Evaluate It by SQM Representatives have access to exciting inspections (sometimes referred to as Mystery Shopping), around the world.  To best connect our field force with appropriate assignments, we require the following, detailed information.

Please complete the full application, by carefully following all instructions, and answering all questions.  INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED BY OUR AUTOMATED SYSTEM.

Title:
Your First Name:
*
Your Last Name:
*
For the field above, only use lower case or upper case letters. Never use symbols, commas or periods in this field
Preferred Name:


Street Address:
*
City:
*
Province/State:
*
Other:
For the field above, select the appropriate state or province. If you live in a country that does not have provinces or states, then select 'No state or province' and leave the second box blank.
If your province or state is not listed, select 'Other' and then put the appropriate name in the second field
.

Country:
*
(i.e. USA, Canada, Mexico)
Postal Code/Zip:
*
Work Phone:
Home Phone:
*
Fax Number:
Email Address:
*
Mobile/ Cell Phone:
Re-enter your email address:
*
For the fields above, be sure to use proper email structure, including the "@". If the two fields are not identical, a warning prompt will appear. Both fields are mandatory.

How did you become familiar with SQM?
(Check all that are applicable)
*










Please elaborate.
*
Who, if anyone, referred you to SQM?


Personal Information

Gender:
*
Date of Birth:
*
/ /
Body type:
My height is:
My hair colour is:
My hair length is:
Ethnicity:
*
If you answered other, please identify your ethnicity:
Upload Photo:

WARNING: Please do not attach an image that is larger than 10MB. If you do so, you will not be able to save and submitted your application.

Marital Status:

Demographic Information

Check the highest level of education you have obtained. *

SQM often conducts various programs for our clients. These programs may require specific age groups and/or individuals from varied
ethnic backgrounds. To meet the specific needs of our clients it is important that this information is available.

I Speak:



















I Write:



















I have:
Employment status:
Profession:
Business Travel:
Personal Travel:
Do you smoke:

Miscellaneous Information

I have a major credit card:
*
Credit Card Types:

Your Occupation:


I have access to a vehicle:
*
Car Model:
Car Make:
Car Year:


Do you have access to the Internet at home?

*
Valid Insurance:
Do you have access to a computer at home?
*
Do you have access to the Internet on your cellphone?
Are you a vegetarian?

*
My Computer is:



My Internet Browser is:






Version if you know

Please write a short paragraph describing your best and your worst shopping experience.




As a Representative for Evaluate It by SQM, you will be reimbursed for a pre-determined amount of the outlined costs associated with each assignment (approximately 50%). To ensure payment, the appropriate documentation must be provided to SQM as outlined in the instructions provided for each assignment, the legal agreement, or other company documents.


Check that you agree to these terms: *