Personal Information:
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| Name |
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| E-mail |
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| Address |
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| City |
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| State |
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| Zip Code |
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| Home Phone |
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| Cell Phone |
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| Other |
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Payment Information:
If you do not have a "business name," please enter your name. Payments are made via direct deposit or PayPal.
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| Business Name |
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| Address |
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| PayPal E-mail |
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Counties you are applying to collect data in:
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| Work Profile Information: |
| Typing Speed |
wpm |
| Data Entry Speed |
ksph (if known) |
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| Do you have... (yes / no) |
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Laptop computer |
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Laptop battery life when fully charged (IN HOURS) |
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PC/desktop computer |
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Dictation Equipment |
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Transcription Equipment |
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Dial-up Internet Access |
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DSL Internet Access |
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Cable/Satellite Internet Access |
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Microsoft Word or Open Office (Open Office is a free open source software, which can be downloaded at www.OpenOffice.org, if you do not have Microsoft Office.) |
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Microsoft Excel or Open Office
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Microsoft Works |
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Other Equipment:
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I will: |
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(a) input records directly on laptop.(Most efficient method for most assignments.)
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(b) dictate information into a recorder and transcribe/input on home computer. |
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(c) collect data manually and input on home computer. |
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Earning range I would feel comfortable with* |
| $ per hour to $ per hour |
| *Your pay is per record, so your answer will not affect your actual earnings. This just lets us know whether your expectations appear to be reasonable in light of your skills, equipment, and what assignments we have available. Let us know what you need to make your first week, knowing you'll get faster in order to stay with this assignment long-term, as well as what you'd like to make, if possible. |
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| Number of hours I would be available to work each week at this assignment: |
| Minimum |
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Maximum |
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| What other research companies and/or research jobs have you worked for in the past or present? Please give details—dates, responsibilities, etc. |
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| Please share any other information you feel might be helpful to our working relationship. |
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| Please Initial: |
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I understand that I am an independent contractor and responsible for my own expenses and taxes.
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I agree to collect the assigned data for Sunlark Research in an efficient and consistent manner. If at any time I cannot meet weekly commitment, either temporarily or permanently, I will notify Sunlark Research immediately.
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I understand that I must submit an itemized invoice and status report on a weekly basis to Sunlark Research, or I will not be paid.
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I agree to keep confidential all information in relation to Sunlark Research and/or their processes, etc.
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I understand that failure to adhere to these requirements can be cause for withdrawl of any research work assigned. |
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SIGNATURE / DISCLAIMER:
I, the undersigned, hereby certify that by affixing my name below I have accurately completed, and attest that all information included with this application is true and accurate:
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Court Researcher Applicant
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| Today's Date (not birthdate) |
(mm/dd/yyyy) |
