Shopper Signup

Shoppers, please fill in the form below to sign up with Campus Consulting Mystery Shopping Services.

First Name (Prénom)
Middle Initial
Last Name (Nom)
Title (Titre)
Street Address (Adresse)
City (Ville)
State (Province)
Zip/Postal Code (Code Postal)
Country
Work Phone (Numéro de téléphone au travail)
Home Phone (Numéro de téléphone à domicile)	FAX:

Adresse électronique: (Veuillez inscrire une seule adresse électronique.) EMAIL:	Enter one email address only in this box. Do not type anything else in this box. If you need to comment on an email address, please do so in the comment box below.

How often do you check your e-mail? (once a day, several times a day, several times a week, etc.)
(Vérifiez-vous votre email souvent?)

URL
Sex (Sexe)
Race	(optional: this is for clients requesting minority shoppers in order to learn how they are treated)
Birth Date (Date De Naissance)	use format mm/dd/yy

What is your occupation?
(Veuillez décrire brièvement votre emploi actuel.)

Education: (choose one of the following options)

(Niveau d'instruction)

Do you have Mystery Shopping Experience?
( Expérience / Client Mystère )

If yes, explain your Mystery Shopping experience.
(Si oui, expliquez.)

Have you had any Mystery Shopping training?
(Instruction / Client Mystère)

If yes, please explain your Mystery Shopping training.
(Si oui, expliquez.)

Do you have a Digital Camera?

Do you have a Picture Cell Phone?

Have you ever mystery shopped with hidden video equipment? (moving pictures, not stills)
(équipement visuel pour Client Mystère?)

If YES, please explain.

Can you do a hidden video mystery shop with your own equipment? (moving pictures, not stills)

Please enter the cities and areas you can shop.
(Indiquez le nom des villes ou villages où vous êtes prêt à travailler.)

How did you find our website?
Internet Site (please specify website), Advertisement (please specify ad location), Search Engine, etc.

Comments
(Commentaires)

Please press Submit Application ONE TIME ONLY.
It will usually take a few minutes to complete submission.
(Note : Ne pas cliquer sur ce bouton plus d'une fois. Veuillez attendre quelques instants afin d'obtenir une réponse à votre demande.)