Micro-Call Center Business Intake Form - Innovative Work Alternatives

You understand that the position to which you are applying is a 'work from home' position*

All of our positions are work from home, we have no office positions.

I understand.
No-but that sounds great!

Have you ever worked from home?*

Yes
No

Why do you want to work from home?*

What type of hours are you seeking?*

Full time
Part time
Seasonal

What types of positions are you seeking?*

Select All
Call center (many clients from which to choose)
Medical Billing and Coding (off phone)
Inbound sales
Outbound sales
Recruiting

You understand that this position is an 'independent contractor' position not an 'employee' position.*

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

You understand that as an independent contractor, there are no 'employer paid benefits' offered.*

However, we do partner with companies who can offer various insurance policies at your own cost, if you wish.

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

You understand that as an independent contractor, no taxes will be deducted from your paychecks.*

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

You understand that as an agent, you will be required to sign a contract that defines expectations, as well as NDAs and waivers.

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

You understand that each client will require specific 'certification' course(s) to be completed to make sure that you are able to provide excellent service to their customers.

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

When will you be able to cover the tax deductible cost of your required certification, if any applies?*

This allows us to direct you to the best fitting clients.

Right away.
It will depend on the amount.
This isn't possible (you will only be referred to no-cost clients which severely limits your choices).

How much are you able (or willing) to invest to enroll with a client?*

This allows us to direct you to the best fitting clients.

$0.00
$1.00 - $14.99
$15.00 - $59.99
$60.00 - $99.99
$100 and above

Are you able to attend the entire course duration (2-4 hours per day, 2-6 weeks, Mon-Fri)*

Yes
No (this will severely limit your ability to find a suitable client).

You understand that the duration of the certification period is a non-paid period, but could be tax deductible.*

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

You understand that you will be responsible to provide the following necessary equipment: desktop or laptop, phone line, internet service, & headset.*

I understand and am still interested.
I will have to wait to purchase equipment-but wish to continue enrollment.

Do your already own or can you acquire the following equipment?*

Desktop/laptop, High Speed Internet Service, Non-Cellular Phone Line (with NO features), USB headset, and Phone headset

Yes
No

Are you able to work in a secure, noise free area?*

Yes
No (this will limit your client choices)

You understand that you will be able to set your own schedule with a minimum of 10-20 hours per week.*

We pay the full client rate! The tiny fee covers some of the services provided to you: 24/7 tech support, contracting, chat, direct deposit, agent portal, discounts, as well as many other programs and promotions offered to our agents.

I understand and am still interested.
I am not able to meet the minimum hours (this will limit your client options).

You understand that there will be a tax deductible fee of up to $44.75 per bi-weekly check*

I understand and am still interested.
Not interested right now-but keep me on the list in case something changes.

When would you like to enroll with a client?*

Accepted individuals have a short window to complete their registration before spaces fill. When do you plan to complete registration and enroll with a client?*

The day I am offered
Within 24 hours of offer
Within 2-5 days of offer
Within 7-10 days of offer
11+ days of offer

Name

This field is for validation purposes and should be left unchanged.

Micro Call Center Business Intake Form

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