INDEPENDENT CONTRACTOR EXPERIENCE FORM
NAME:__________________________________
ADDRESS:_______________________________
City/State/Zip______________________________
Social Security #___________________________
TELEPHONE:_____________________________
EXPERIENCE:____________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
PSYCHIC ABILITIES:_____________________________________________________________________________
I understand that I am being contracted to work at a psychic service. It is my personal feeling or understanding that I possess psychic or clairvoyant abilities. I have read the foregoing and swear under penalty of perjury that it is true to the best of my knowledge.
DATED:_________________________
_______________________________
Signature of Independent Contractor
2301 EXT. NO_______________
