The Forward Business LLC

Forward 1040 Avenue of the Americas, New York, NY 10019

351 West Hubbard Street, Chicago, IL 60610

business 1614 East Bell Road, Phoenix, AZ 85022

Phone: 718-673-6124 Fax: (866) 447-6751

Employment Application Application Number:

YOUR NAME:
Last First Middle
ADDRESS ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE
(street, city, U.S.A.?
state, zip):
Yes No (If yes, verification will be required.)

I AM SEEKING A PERMANENT POSITION: Yes No

IF NECESSARY FOR THE JOB I AM ABLE
TO: Work (which shifts)?
E-mail:_______________________
W ork overtime?
Cell phone:_____________________________
Home Phone:___________________________ Name of the bank
Are you able to perform the essential functions where you have an account
Of the position with or without accommodations?
Yes No

EDUCATION: Yrs. Completed Field of Study Graduate or Degree

High School

College/University

Business/Technical
Other (May include grammar school)

MILITARY SERVICE:
Yes No
Duty/Specialized Training:

INDEPENDENT CONTRACTOR AGREEMENT

This contract made between Mystery Shopping Providers Association™, an LLC organized and existing under
the laws of the USA with its principal place of business USA, herein referred to as “Corporation” and you,
Independent Contractor hereinafter referred to as “Independent”.
1. Corporation is in the business of providing customer service evaluations and undisclosed examinations of
client’s businesses and the operation and in the conduct of said business desires to have the following services to
be performed by the Independent.
2. Independent agrees to perform these services for Corporation under the terms set forth this contract. In
consideration of the mutual promises set forth herein, Corporation and Independent agree as follows:
1. NATURE OF WORK: Independent will secretively shop client’s establishment and accurately and honestly
document his/her factual experiences as such, customer/shopper for given Corporation’s client and report his/her
experiences to Corporation in a timely fashion (by deadline date established at time of schedule acceptance).
Under no circumstances will Independent reveal that he/she is a Secret Shopper, Mystery Shopper, Customer
Service Evaluator or anything of the like for Corporation.
2. LOCATIONS OF ASSIGNMENTS: It is understood that Independent’s services will be rendered at various
locations throughout the state (or wherever Independent states their availability).
3. HOURS: In the performance of the aforementioned services, the hours Independent is to work on any given
day will be solely up to the Independent, and Corporation will rely upon Independent to fulfill their responsibility
upon accepting an assignment.
4. PAY STRUCTURE: The Company is obliged to pay the Manager a monthly payment at a rate of 3,000$
payable by no later than 25th of each month.
5. STATUS OF SHOPPER: This contract calls for understanding and recognition of Independent as an
Independent Contractor. Independent will not be considered an employee of the Corporation for any reason.
Corporation will not be responsible for automobile accident, on-site assignment accidents, workman’s
compensation of any sort and/or insurance coverage. Corporation will provide an IRS-1099 Miscellaneous Form
representing Independent’s earnings over $600.00 in any calendar year and Independent will be responsible for
reporting and paying his/her applicable taxes.
6. NON-REPRESENTATION/DISCLOSURE: Independent will not disclose the confidentiality of Corporation
information or any part thereof, to any person, firm, corporation, association, or other entity for any reason or
purpose whatsoever, without the consent of the Corporation. Independent will not disclose, during the course of
the job assigned, that he/she is a contract employee, Mystery/Secret Shopper or anything pertaining to description
of his/her purpose for Corporation.
7. CONFLICT OF INTEREST: If at any time Independent becomes employed or has a relative or friend that is
employed by a client that the Corporation has assigned the Independent to, the Independent agrees to decline the
assignment and/or notify the Corporation of such employment. If Independent works for another Secret Shopper’s
company or one offering similar services, he/she will not disclose any information about the Corporation to the
opposing company.
8. INSURANCE: Each Independent is responsible for carrying his/her own automobile insurance and annually
will provide proof of insurance to Corporation.
9. LIABILITY: Corporation disclaims any liability for any injury that is either in an automobile, at an assignment
or in the office which injury may occur to Independent.
10. RETURN OF CORPORATION’S PROPERTY: On termination of this agreement, regardless of how
termination is effected, or whenever requested by Corporation, Independent shall immediately return to
Corporation all of Corporation’s property, including, but not with limitation to all materials related to Mystique
Shopper, LLC. and used by Independent in rendering services hereunder or otherwise, that is in Independent’s
possession or under his/her control.

Signature: Date:

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program,
all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning
and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for
employment.

Employer Section: