become-a-shopper-today

We strive to provide the right people to complete survey data for our clients; therefore it is important that Shopper Registrations are completely filled out. Incomplete information can result in Service Integrity not approving or accepting your registration.

PERSONAL INFORMATION
Title:
 *
Given Name:
 *
Other Name(s):
Surname:
 *
Gender:
 *
Date of Birth:
 *
Country:
 *
Postal Address:
 *
Suburb:
 *
State:
 *
Postcode:
 *
Home Phone:
 *
Work Phone:
Mobile Phone:
Email Address:
 *
Confirm Email Address:
 *
How did you find us?
 *
INDUSTRY CONNECTIONS

Within the last 5 years, have you WORKED in any of the following industries?













































DEMOGRAPHIC INFORMATION

The following information is used for our clients who may need shoppers who fit a targeted profile. If you want to be considered for these special assignments, simply fill out all the remaining sections. All information on this application, including demographic information, is kept strictly confidential and is used for assignment purposes only. Your information will not be shared with any other company and is used only by authorised Service Integrity personnel.

Education (This section is optional):

Highest Education Level:
Name of School:
Number of Years Attended:
Year of Graduation:
Degree:

General (This section is optional):

Languages Spoken:
Marital Status:
Residential Status:
Combined total income for all household members

Identification (This section is optional):

In order to protect your confidential identity as a Mystery Shopper, there are occasions, based on an inquiry from our client, where we may need to be able to verify certain identifying characteristics. The following information will be used for this purpose.

Hair Colour:
Eye Colour:
Do you wear glasses?:
Weight (kgs):
Height (cms):

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