Job Application: General Application

Title: General Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Company Name
First Name *
Last name *
Email Address *

Contact Details

Address *
City *
State *
Zipcode *
Office Phone
Cell phone *

Services Provided

Services Provided	Property Preservation Insurance Inspections Field Inspections Other
Coverage Areas Please Provide Counties or Zipcodes *

Additional Information

How familiar are you with Field Inspections/Property Preservation?	New to the field Semi-skilled Experienced
Describe your knowledge and experience with the Mortgage Field Services industry:

Do you currently own or have access to the following: *	Computer InternetAccess Reliable Transportation Digital Camera Scanner
Have you ever been convicted of a felony? *	Yes No

	* Do you acknowledge and understand that if American Field Services Inc. retain you, you will be working as an independent contractor/vendor. The completion of this application does not create an employee/employer relationship between American Field Services Inc and its affiliate clients; and you, your company or your employees. It is the intent of all the parties that every vendor/contractor performing work for American Field Services Inc is and remains an independent vendor/contractor and not employees of American Field Services Inc or any of its affiliate clients; No vendor/ has the right to receive work from American Field Services Inc.American Field Services Incwork is awarded based on vendor/ contractor performance, which is determined on an individual basis.

	* I affirm that the information provided on this vendor application is true and complete. I understand that any false information, misrepresentations or omissions, oral or written, may disqualify me from further consideration and may result in disolving my independent contractor relationship with American Field Services inc. I authorize American Field Services inc to investigate all statements contained in this vendor application, including references, police departments, and any other background check or sources concerning me. I authorize all such references and sources (and the company) to release this information without liability for damage resulting from such releases. I waive any written notice of the release of such records that may be required by state or federal law.