Professional Information Submission Form

Full Name

Please enter your full name.

This field is required.

Company Name (if applicable)

Please provide your company name if applicable.

This field is required.

Gender

Please select your gender.

This field is required.

Street Address

Enter your street address.

This field is required.

City

Enter your city.

This field is required.

State

Enter your state.

This field is required.

ZIP Code

Enter your ZIP code.

This field is required.

Phone Number

Enter your phone number.

This field is required.

Alternate Phone Number (optional)

Enter an alternate phone number (optional).

This field is required.

Email Address

Enter your email address.

This field is required.

Preferred Method of Contact

Select your preferred method of contact.

Phone

Email

Text

This field is required.

List your skills and the services you offer

e.g., carpentry, plumbing, electrical work.

This field is required.

Do you have any specializations or areas of expertise?

Yes

No

This field is required.

If yes, please specify

Specify any specializations.

This field is required.

Are you licensed? If yes, please provide details

License details.

License Type

Enter license type.

This field is required.

License Number

Enter license number.

This field is required.

Issuing Authority

Enter issuing authority.

This field is required.

Do you have any professional certifications?

Yes

No

This field is required.

If yes, please list them

Enter certifications you hold.

Are you insured? If yes, please provide details

Details about your insurance.

Insurance Provider

Enter insurance provider.

This field is required.

Policy Number

Enter your policy number.

This field is required.

Coverage Type

Enter coverage type.

This field is required.

Can you provide proof of insurance?

Yes

No

This field is required.

Can you provide DBA (Doing Business As) or LLC paperwork?

Yes

No

This field is required.

Please load proof of insurance, DBA, LLC, make sure it is labeled with your company name

Click to upload or drag and drop

This field is required.

Years Working in the Field

How many years have you been working in your field?

This field is required.

Briefly describe your work experience

Provide a brief summary of your work experience.

This field is required.

Job 1 – Client Name

Enter the client name for Job 1.

This field is required.

Job 1 – Location

Enter the location for Job 1.

This field is required.

Job 1 – Description of Work

Provide a description of the work done for Job 1.

This field is required.

May we contact this client for a reference? If yes, provide contact details

Provide reference contact details.

This field is required.

Job 2 – Client Name

Enter the client name for Job 2.

This field is required.

Job 2 – Location

Enter the location for Job 2.

This field is required.

Job 2 – Description of Work

Provide a description of the work done for Job 2.

Job 3 – Client Name

Enter the client name for Job 3.

This field is required.

Job 3 – Location

Enter the location for Job 3.

This field is required.

Job 3 – Description of Work

Provide a description of the work done for Job 3.

Do you have a portfolio or photos of previous work?

Yes

No

This field is required.

Please upload the photos make sure they are labeled with your company name please.

Click to upload or drag and drop

This field is required.

Do you have your own equipment?

Yes

No

This field is required.

If yes, please list the equipment you have.

List any equipment you own.

Locations you are willing to travel to

List the cities, counties or regions.

This field is required.

Maximum distance willing to travel (in miles)

Enter the maximum distance you are willing to travel.

This field is required.

Availability

Please specify your availability.

This field is required.

Days of the Week Available

Enter the days of the week you are available (e.g., Mon, Tue).

This field is required.

Hours Available

Please specify your hours of availability (e.g., 8 AM – 5 PM).

This field is required.

Are there any scheduling constraints we should be aware of?

Yes

No

This field is required.

If yes, please explain

Please explain any scheduling constraints.

Project Expectations and Requirements

What are your expectations and needs for the project sites you might work on?

Access to utilities (electricity, water, etc.):

This field is required.

Site preparation requirements:

This field is required.

Assistance from client (e.g., moving furniture):

This field is required.

Safety considerations:

This field is required.

Other needs:

This field is required.

What are your payment terms and expectations?

Hourly Rate or Fixed Price: Payment Schedule (e.g., deposit required, payment upon completion): Preferred Payment Methods: (Cash, Check, Credit Card, Online Payment)

Do you offer warranties or guarantees on your work? (Yes/No)

This field is required.

If yes, please provide details:

References 1 – Name

This field is required.

Relationship:

This field is required.

Ref #1 Phone Number:

This field is required.

Ref # 1 Email Address:

This field is required.

References 2 – Name

This field is required.

Relationship:

This field is required.

Ref #2 Phone Number:

This field is required.

Ref # 2 Email Address:

This field is required.

Are you willing to undergo a background check? (Yes/No)

This field is required.

Are you a member of any professional associations? If yes, please list them:

Have you ever had any complaints or legal actions taken against you related to your work? (Yes/No) If yes, please list them:

Are you a member of any professional associations? If yes, please list them:

(e.g., OSHA training, safety courses)

Do you have any constraints or special requirements we should be aware of?

Please provide any additional information that might be relevant:

Do you consent to have your information shared with potential clients? (Yes/No)

Do you agree to adhere to our company’s terms and conditions?

https://jobs.iamopen.org/terms-and-conditions/

Professional Information Submission Form

Personal Information

Contact Information

Professional Information

List your last three jobs and what was done

Service Area and Availability

Project Expectations and Requirements

References

Additional Information

Consent and Agreements

When you click on submit below, we will get your information, review the details, do some research and get back with you with in 72 hours.