Mystery Shopper Application Form

MYSTERY SHOPPER APPLICATION FORM


	$$ Do you want to earn extra money while you shop? $$

	Thank you for your interest in joining our national team of mystery shopper researchers. Mystery shoppers perform customer service assessments for a variety of businesses / organizations. Flexible hours with compensation range of $10.00 to $15.00 per shop assignment.

	Please complete the on line application form. All successful applicants will be contacted and given more information regarding the position.

* Denotes required field

CONTACT INFORMATION:

* First name:

* Last Name:

* Email Address:

Enter Email mail address again for confirmation:

* Address:

* City:

* Province/State:

Country:

* Postal Code/ Zip:

* Home Telephone Number:

Work Telephone Number:

* Can we contact you at work: Yes No

Facsimile:

AVAILABILITY: (Time availability to conduct assignments)

Weekday:	Yes No

Weekend:	Yes No

Other:

List the cities/towns that you are regularly able to conduct mystery shopper assignments. Include any neighboring towns or cities which you would not require any extra payment for travel. I.e. A neighboring town, which you travel through on your commute to and from work.

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Do you have access to a vehicle? Yes No

WORK EXPERIENCE: - Please describe your most recent work experience.
(If applicable)

Industry:

Position / Responsibilities:

* Why do you feel you would be a good mystery shopper researcher?
(Mandatory field -75 words maximum)

* Provide an example of great customer service you or someone you know experienced. Be sure to include any specific actions the staff members took to create a positive service interaction.
(Mandatory field - 100 words maximum)

* Provide an example of poor customer service you or someone you know experienced. Be sure to include any specific actions the staff members took to create a negative service interaction.
(Mandatory field - 100 words maximum)

Additional Comments - any other information you would like to provide that you feel is important for us to know when considering your application.

DEMOGRAPHIC INFORMATION

In order to assist our office in matching our mystery shopper assignments to the most appropriate shopper profile please complete the following demographic information.

Gender:	Male Female

Age Group:	18-24 years 25-30 years 30-39 years 40-49 years 50-59-years 60-65 years 65+ years

Education:	High School College University

Household Income:	$20000 - $30000 $30000 - $40000 $40000 - $50000 $50000 - $65000 $65000 +

Internet Usage / Experience:	Rarely use Internet and somewhat unfamiliar Occasionally use Internet and familiar with basics Regularly use Internet and have good working knowledge

Note: Any and all information collected by Frontline Shoppers is kept in strict confidence within a secure database accessible by our internal office staff. Frontline Shoppers collects the information listed above solely for the purpose of selecting researchers to conduct customer service assessments for its clientele.

Thank you for completing the online application!

*	First name:
*	Last Name:
*	Email Address:
	Enter Email mail address again for confirmation:
*	Address:
*	City:
*	Province/State:
	Country:
*	Postal Code/ Zip:
*	Home Telephone Number:
	Work Telephone Number:
*	Can we contact you at work:	Yes No
	Facsimile: