Are you already a Field Rep for Site Service Manager? Click here to find out!  
Profile Information

* required field
Your name

*First name


*Last name

Organization Name: 
Gender:  DOB: (MM/DD/YYYY) *E-mail Address Alternate E-mail Address
Male Female
*Please re-enter your email address for verification

Mailing address  
*Address Address 2 *City *State *Zip Code
*Phone number Work number Cellphone
()- Ext. ()- Ext. ()-
Alternate number Fax number
()- Ext. ()-
Shipping address, if different from above (Must NOT be a P.O. Box)
Address Address 2 City State Zip Code

* I am interested in
Merchandising Have Done Interested In
 Special Project   
 Product Cut-in   
 New Store Setup   
 Display Setup   
 Continuity/Product Re-order   
Demo/Event Have Done Interested In
 Product Sampling   
Mystery Shopping Have Done Interested In
 In-Person Mystery Shopping   
 Phone Shops   

* General availability to perform jobs
(check all that apply)

before 12 pm
12 pm - 5 pm
after 5 pm
All week

Are you currently employed?
 Yes   No
If yes, please indicate your occupation:


Are you able to print from your computer?
 Yes   No

What type of Internet browser do you use?

Have you ever worked as a merchandiser before?
 Yes   No If yes, please tell us about your experience:

Have you ever worked as a mystery shopper before?
 Yes   No If yes, please tell us about your experience:

Have you ever worked as a demonstrator before?
 Yes   No If yes, please tell us about your experience:

* Please write a short paragraph describing yourself in terms of your personality, strengths etc, and your background.

How many miles are you willing to travel?  

Do you own an digital camera?
 Yes    No    

Do you own a computer
 Yes    No    

Upload a photo of yourself

Languages besides English spoken

* The following questions will help us determine whether you qualify for certain projects. Please answer as accurately as possible.
Do you own a Mobile Device (phone, tablet, etc)  
Is your mobile Device an Apple brand  
Is your apple device an iPhone 4 or 5  
Is your mobile device an Android  
Is your Droid device a version 2, 3, or 4  
will you import a reporting app to your device  
Please read the following: