Mystery Shopper Application
If you would like to Mystery Shop for us, please complete the following form. Required fields are indicated in red. You must answer these so we can process your request and accept you as a possible shopper.
You must also fill out a form
HERE
to be eligible for shops:
NAME
First name:
Middle initial:
Last name:
ADDRESS
Mailing address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Nova Scotia
Ontario
Prince Edward IS.
Quebec
Saskatchewan
Newfoundland
Northwest Territories
Nanavut
Yukon Territory
Aguascalientes
Baja
Campeche
Chiapas
Chihuahua
Coahuila
Colima
Distrito Federal
Durango
Guanajuato
Guerrero
Hidalgo
Jalisco
Mexico
Michoacan
Morelos
Nayarit
Nuevo Leon
Oaxaca
Puebla
Queretaro
Quintana Roo
San Luis Potosi
Sinaloa
Sonora
Tabasco
Tamaulipas
Tlaxcala
Veracruz
Yucatan
Zacatecas
Zip:
Country:
United States
Mexico
Canada
----------
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahama
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Côte D'ivoire (Ivory Coast)
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Islamic Republic of Iran
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia
Moldova, Republic of
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Nambia
Nauru
Nepal
Netherlands Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (Great Britain)
United States Minor Outlying Islands
United States Virgin Islands
Unknown or unspecified country
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Please separate with comma's
Additional cities to shop:
Nearest major city:
County
(not Country):
Social security number:
Home phone:
Work phone:
Cell Phone:
Fax:
Email address:
D
o not use capitals and
make sure you have no blank spaces
.
PassWord:
Confirm PassWord:
PERSONAL INFORMATION
Age:
Race:
Select
Caucasian
African American
American Indian
Asian
Indian
other
Hispanic
Gender:
Select
Female
Male
Highest level of education:
Occupation:
Have you been certified?
Get Certified at the MSPA SITE http://www.mysteryshop.org/certification.php
Silver Certification Number:
Gold Certification Number:
The American with Disabilities Act of 1990 makes it unlawful to discriminate in employment against a qualified individual with a disability unless the person is unable to perform the essential functions of the position applied for. Mystery Shoppers welcomes the opportunity to work with all persons regardless of the disability. In some cases a business maybe looking for a shopper who can evaluate their establishment including their handicap facilities. In order to perform the essentials of the job applied for, do you need any reasonable accommodations?
If so, please
describe the nature of the accommodations needed.
Please answer this question in essay form.
In your opinion,
define good customer service.
Additional comments:
Often other mystery shopping companies ask for shoppers from our database. This information would not be used for any other purposes and would only be used with companies who are part of the Mystery Shopping Providers Association. The more companies who have your name the more chances that you have to mystery shop
.
Do Not share my name.
I HEREBY ACKNOWLEDGE THAT BY SUBMITTING THIS APPLICATION, I WILL BE CONSIDERED AN INDEPENDENT CONTRACTOR HIRED BY MYSTERY SHOPPERS. I AM THEREFORE RESPONSIBLE OR MY OWN LOCAL, STATE, AND FEDERAL TAXES, AS WELL AS, SOCIAL SECURITY DEDUCTIONS. ALSO, I WILL NOT HOLD MYSTERY SHOPPERS RESPONSIBLE FOR ANY LIABILITIES THAT MAY OCCUR BEFORE, DURING, OR AFTER AN ASSIGNMENT. IF I AM UNABLE TO COMPLETE A SHOP IN THE TIME ASSIGNED, I WILL NOTIFY MYSTERY SHOPPERS IMMEDIATELY. IF I DO NOT FOLLOW ALL REQUIREMENTS OF AN ASSIGNED SHOP AS STATED ON THE DEFINITIONS PAGE, I UNDERSTAND MYSTERY SHOPPERS WILL NOT REIMBURSE ME FOR MY SERVICES.
I will not accept any jobs assigned by "Mystery Shoppers" in which I personally know any of the employees or are related to any of the employees of that particular company. All questionnaires and information obtained from a mystery shop are considered confidential and property of Mystery Shoppers and the client. If I fail to adhere to any of these guidelines, my assignment will not be compensated for and I will no longer be able to perform any more jobs from Mystery Shoppers.
I Agree to the above.
Payment for completed shops:
All payments for shops are cut at the end of the following month that you complete your shop.
IE: If you complete a shop in October, your check is cut at the end of November.