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Agent Intake

Name(Required)
Address(Required)
If you live in the following states: California, Connecticut, Maryland, Massachusetts, New York, Oregon, and Wisconsin and you mark that you are not affiliated with the military your options will be limited.

Are you currently affiliated with the military?(Required)
If you live in the following states: California, Connecticut, Maryland, Massachusetts, New York, Oregon, and Wisconsin and you mark that you are not affiliated with the military your options will be limited.

Are you 18 years of age or older?(Required)
Do you have a high school diploma or GED?(Required)
This does not limit your options. If you choose a career where there is a national certification, they may require this and we will advise you of that requirement at that time.
How were you referred to us?(Required)

Below you will be presented with various questions and acknowledgments. Please read each carefully and complete in its entirety.
You understand that the position to which you are applying is a 'work from home' position(Required)
All of our positions are work from home, we have no office positions.
You understand that the phrase "work from home" is not limited to a single location.(Required)
Some clients may have location restrictions for legal reasons.
Have you ever worked from home?(Required)
What type of hours are you seeking?(Required)
What types of positions are you seeking?(Required)
You understand that you will be choosing your own client and/or industry/career path from our list of available partners and career paths. You will not be "assigned" a client or industry.(Required)
We can assist with advice, guidance, and answer questions, but we will not push you toward any single option. Our candidate selection process is general. (For example, if you are choosing "customer service" and your industry/path, we will provide the list of eligible clients based on your circumstances (location, etc). Not all clients have openings at all times, so we will provide guidance as to what positions are open when you are ready.
You understand that you are not restricted to our company. Certain clients may require that you not be "captive" or working with a competing company.(Required)
You may work with several different companies with us and/or outside of our partners. However, a cruise line client may not award a contract if you are a licensed travel agent or working with another, competing, cruise line; but they would have no issue with you providing your services (in this example, "Customer service") to a cable company.
Who will be providing the services?(Required)
Please provide the name of your company which will be providing services to our clients. If you are providing services as yourself, enter your name.
You understand that this position is an 'independent contractor' position not an 'employee' position.(Required)
You understand that as an independent contractor, there are no 'employer paid benefits' offered.(Required)
We partner with companies who can offer various insurance policies at your own cost, if you require any of those services.
You understand that as an independent contractor, no taxes will be deducted from your paychecks.(Required)
You understand that as an agent, you will be required to sign a contract that defines expectations, as well as NDAs and waivers.(Required)
You understand that you must have the prerequisite skills, but that certain clients may require certification on their proprietary software systems and company policies before offering a contract with their company.(Required)
The duration of some client certification are 2-4 hours per day, 4 weeks long, Mon-Fri with day or evening hours. Some are shorter. Some are for far longer periods but more flexible in their timeline.
You understand that the duration of the certification period is a non-paid period.(Required)
You understand that you will be responsible to provide the following necessary equipment: desktop or laptop, phone line, internet service, & headset.(Required)
Some clients require a "POTS landline" phone service with a traditional telephone headset. Some allow cellular service. Some do not require a separate phone line as services are provided over the internet through a USB headset.
You understand that you are expected to set your own schedule, that no hours or schedule is "assigned" to you.(Required)
Some clients have a minimum of 10-20 hours per week.
You understand that each client has their own pay structure and requirements, which you will see during your client-selection period and for as long as you're with BlackThumb.(Required)
Some clients pay by job, some by commission, many pay "hourly" based on staffed, productive, talk, etc. We pay all contractor invoices on the 1st and 15th of each month.
Are you able to work in a secure, noise free area?(Required)
You understand that by filling out and submitting this form, you are requesting to be remain on our list to be advised of open opportunities.(Required)
Consent(Required)
Consent(Required)
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