Shopper Signup

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

First Name
Middle Initial
Last Name
Title
Street Address
City
State
Zip/Postal Code
Country
Work Phone
Home Phone

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.)

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

What is your occupation?

Education: (choose one of the following options)

Do you have Mystery Shopping Experience?

If yes, explain your Mystery Shopping experience.

Have you had any Mystery Shopping training

If yes, please explain your Mystery Shopping training.

Do you have a Digital Camera?

Do you have a Picture Cell Phone?

Please enter the cities that you can shop in.

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

Please write a three or four sentence paragraph explaining why you would be a good mystery shopper for us.

Please press Submit Application.(