Event Personnel Needed
First Name
Last Name
Address 1
Address 2
City
State
Alabama
Alaska
Arizona
Arkansas
British Columbia
California
Canada
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
None
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip
Home Telephone
Cell Telephone
Email Address
Where did you hear about NCiM?**
Friend/Family or Demonstrator
Internet
Print
**If Friend/Family or Demonstrator, please enter # or name.
**If Internet, what site did you find NCiM?
Simply Hired
Indeed
Shadow Shoppers
NARMS
Craigslist
BackPage
Other
**If Print, please enter in publication.
If Internet or Print select specific Ad Code, otherwise select 0.
0
1
7
11
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15
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18
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22
31
35
41
42
43
44
45
46
48
49
50
52
62
66
81
86
91
101
112
115
118
216
300
301
302
303
304
305
306
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308
309
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313
314
400
401
402
403
404
567
601
699
700
701
702
703
704
705
708
800
804
811
812
Are you at least 18 years of age?
Yes
No
Do you have reliable transportation?
Yes
No
Are you physically able to stand for 6 hours without sitting or leaning?
Yes
No
Do you have Internet access?
Yes
No
Can you receive payment from NCiM through direct deposit?
Yes
No
In the past 10 years have you been convicted of a felony?
Yes
No
Have you ever been convicted of a sex offense?
Yes
No
Have you ever been convicted of shop lifting?
Yes
No
Do you have retail/sales/promo experience?
Yes
No
Do you have an outgoing personality that engages people?
Yes
No
Do you possess basic culinary skills?
Yes
No
Do you have a current food handler’s permit?
Yes
No
Please indicate the type of demo work you are interested in:
Standard Product Demos
Promo Model Special Events
All Opportunities
Demo Work Information
Standard Product Demos
pay less than
Promo Model Special Events
but occur much more frequently and have less stringent requirements.
Do you have the ability to receive text messages?
Yes
No
What age category do you fall into? (NOT REQUIRED)
18 – 30
31 – 45
46 – 60
61+
How would you describe your level of computer skills?
Advanced
Intermediate
Beginner
Little or none
How would you describe your cooking skills?
Superior
Above Average
Average
Below Average
Little or none
Do you consider yourself to be physically fit?
Yes
Moderately
No
Please mark the following areas in which you may have some basic experience:
HealthCare
Fitness
Nutrition
Culinary
Childcare
Please mark any of the following in which you may have special expertise:
Sales
IT
Cosmetology
Promo Modeling
What other agencies do you work with or have worked with:
PromoWorks
Sunflower Staffing
Mass Connections
Big Orange
Talent Pool
LP In Store Services
Express Employment Professionals
What appliances can you bring on cooking demos:
Electric Skillet
Microwave
Toaster Oven
Blender
"George Foreman" style grill
Coffee Maker
Do you have a basic understanding of Spanish or other language in addition to English:
None
Spanish
Other
Overwrite existing record?