Job Inquiry: ( Inquire to become a mystery shopper )
All Questions are mandatory
First Name:
Last Name:
Street Address:
City:
State/Province:
Day time phone #:
Zip/Postal Code :
Evening phone #:
Personal Email Address:

1. Would you be able to show proof of your eligibility to work in this country ? Yes No
2. Do you have reliable transportation ? Yes No
3. Do you have a valid drivers license ? Yes No
4. Do you have insurance on your vehicle ? Yes No
5. Would you be able to submit reports online? Yes No
6. Do you have internet access and a email account at your home location? Yes No
7. Are You presently working? Yes No
If Yes Full Time Part Time
If No are you looking for Full time work? Yes No
8. Employment history: List last five years of work history in chronological order (please list dates):
9.. Have you ever worked as a mystery shopper before? Yes No
If yes, Please indicate the location(Maximum three) that you worked with time and duration
Location 1: How Long Ago: Duration:
Location 2: How Long Ago: Duration:
Location 3: How Long Ago: Duration:

10. Have you ever worked for a major grocery chain or major retailer? Yes No
If yes check the company name if they appear on the list.
Company Name: How Long Ago: Duration:
Company Name: How Long Ago: Duration:
Company Name: How Long Ago: Duration:
11. Do you have any family members or close friends who work for a major retailer or grocer? Yes No
If yes check the company name if they appear on the list.
Company Name: How Long Ago: Duration:
Company Name: How Long Ago: Duration:
Company Name: How Long Ago: Duration:
12. Select the closest city to you
and list the distance your home is from this city
13. Are you willing to travel ? Yes No If yes how far?
14. Would winter driving or nighttime travel affect your availability ? Yes No
15. Why do you believe you would be a great mystery shopper ? (50 words or less):

16. All shops are assigned on specific days and the following time frames:
A= 9:00am - 11:59am B= 12:00pm - 3:59pm C= 4:00pm - 5:59pm D= 6:00pm - 9:00pm
Yes I would be available all days and hours
No I would not be available all days and hours, and will list those in the space below.
    If NO, please list the time frames and days of the week you are not available
17. What is your idea of Superior Customer Service? (50 words or less)

18. From previous jobs, or online history what experiences do you have working on the internet?
(50 words or less)

19. Please list the last poor customer service experience you had, where it was and if you called it to anyone's attention. (50 words or less)

20. Please list the last positive customer service experience you had, where it was and if you called it to anyone's attention. (50 words or less)

21. How did you hear about us?
Newspaper/Publication
Friend
Family Member
Browsing/Surfing Internet:
   
Other:
  Referred By:  

22. If you wish to list any additional comments, please use the following space. (50 words or less)

23. Best time to contact you for a phone interview?

24. I have disclosed all information relevant to my application, and certify all information provided to be truthful and complete. I also have read the Information about becoming a mystery shopper". Yes No
 
The following information is being collected for compliance with Equal Employment Opportunity Commission (EEOC) reporting requirements. None of the information below will be used in making any decision about your employability or in determining your status with the company. You are not required to answer the below questions.
25. Gender
26. Ethnicity

Submitting this inquiry is not a guarantee that you will