3 STEP PROCESS
AFFILIATE BROKER APPLICATION
Date of Birth
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Primary Phone Number
Secondary Phone Number
Are you legally eligible for employment in the United States?
STOP WE ONLY DO BUSINESS WITH PEOPLE ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES
Can you provide Revolutionary Designz, LLC your resume?
Please download your resume. (The only files accepted are Microsoft Word Documents and PDF)
Accepted file types: docx, doc, pdf.
Do you have your W9 Form?
What is this?
Please click here to get a copy of your W9 Form
YOU WILL NEED TO SIGN AND DATE THIS FORM.
Please download your W9 Form. (PDF is the only acceptable format)
Accepted file types: pdf.
Are you a United States Military Veteran?
What type of seperation from the military do you have?
Medical or Disabled Discharge
Please provide your DD214 papers. (The only files accepted are Microsoft Word Documents and PDF)
Accepted file types: pdf, docx, doc.
INFORMATON TO THE APPLICANT
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job . You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.
By saying yes you agree to the above information title "Information to the Applicant" Do you agree?
Please place your initials here to agree.
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