First Name: Middle Name: Last Name: Street Address: Apartment/Suite: City:   State:      Zip:   Closest Major City: Country: Canada USA Home Phone: - - Work Phone: - - What is the best number to reach you at? Home     Work What is the best time to reach you? Morning (between 8:00 AM and noon)   Afternoon (between noon and 5:00 PM)   Evening (between 6:00 PM and 8:00 PM)   Anytime (between 8:00 AM and 8:00 PM) Email Address: Do you own a car? Yes   No Do you have access to a computer? Yes   No Do you have internet access? Yes   No Education: High School College Attended College Degree   Graduate Attended Graduate Degree       What languages do you speak? English   Spanish   French   Italian   Other       Please indicate whether you have work experience in any of the following:   Restaurant / Bar   Retail   Warehouse   Grocery   Distribution   Manual Labor   Hotel   Other       Are there any hours of the day or days of the week you are not available to work?   Please provide information about yourself, including any hobbies or interests:   Attach your resume here: Please answer the below listed questions at your discretion. The fields are not required and failure to provide the information will in no way affect your potential employment with Data Quest. Your personal information will only be used to identify undercover assignments for which you most qualify. Gender: Male Female   Race: Caucasian African-American Hispanic Other   Date of Birth: / /   (mm/dd/yyyy) I acknowledge that all information provided in this application for employment as a Corporate Undercover Investigator is accurate. I also acknowledge that any and all information which I receive from Data Quest and uncover during my undercover assignment will be kept confidential. If employed by Data Quest as an independent contractor, I understand that it is my sole responsibility to report all income received from Data Quest and to pay all taxes that may be due as a result from my earnings.