Employer Eligibility Form

"*" indicates required fields

Please Tell Us About You and Your Organization

Representative Name*
Local Company Address*

About the Job/Internship

Training

Do you provide training for your hires?*
If new hires leave for any reason, is reimbursement for cost of training required?*

Employment Status

Is the new hire hired as W-2 employee or 1099 contractor?*

Compensation

Is there a base salary provided?*
Does compensation include draw on commission?*
Are signed promissory notes or other similar documentation required?*
Is there an expectation of repayment should the new hire leave for any reason?*
Is a signed contract required as a condition of employment?*
Is this compensation information supported by printed documentation provided to new hires?*
Is any portion of compensation dependent on hiring others?*

Benefits

Upfront Costs and Expenses

Does the employer cover office expenses including office space and furniture, phone, supplies, cell phone, etc.?*