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Independent Contractor Application

Position
Start Date
Month
Day
Year

By submitting this application and typing my name below, I certify that:


• All information provided is true and accurate

• I understand I am applying as an independent contractor (1099), not an employee

• I agree to provide all required documentation (insurance, W-9, licensing, etc.) prior to receiving any job assignments

• I understand that submission of this application does not guarantee approval or work

• I agree to be contacted regarding this application and onboarding process


I acknowledge that my electronic signature below is legally binding and has the same force and effect as a handwritten signature.

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