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New Agent Application

First Name

Last Name

Mobile Number

Home Number

Email Address

Street Address

City

State

Zip Code

Most Recent Employer

Reason for Leaving

Are you able to work the minimum 15 hours per week?

Do you have a High School Diploma or GED?

Have you ever created an account with Arise before?

I understand and agree that this is an Independent Contractor (1099) position and I will not be an employee of Platinum Virtual Solutions LLC

I understand and agree that a $30 fee will be deducted from my pay invoice as well as the Arise Platform Usage Fee of $19.75

I understand and agree that I am required to pass a criminal background check.

I understand and agree that I need to enroll in a client certification course within a week of signing up, or notify Platinum Virtual Solutions LLC to remain active

I understand and agree that Platinum Virtual Solutions LLC should be my first point of contact for any issues that I may have

I understand and agree that I have a computer with Windows 10 or Windows 11 and that I will have a telephone line prior to the end of my client certification IF required by client.

I understand and agree that I will need to complete my agent paperwork with my banking information as well as my Social Security Number before any invoice payments are received, pay dates are the 1st and the 15th of each qualifying pay period.

I understand and agree that I will need to check my email daily.

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