VSSCyberOffice Independent Contractor Registration Application

If you are interested in collaborating with VSS on special projects, complete this online company registration form.
Submission of this form does not guarantee that your company will receive a subcontract from VSSCyberOffice. Information provided will be entered into our database, and you will be notified via email of current and/or upcoming projects which will require additional support . All fields in BOLD are required.

Date:

First Name:

Middle Init.:

Last Name:

Company Name:

City:

ZIP:

State:

Country:

eSecurity Code:

(7answer here)

Email Address 1:

Email Address 2:

URL/Company Website:

Primary Phone w/ AC:

Secondary Phone w/ AC:

Best Times to Reach you:

Timezone:

Date Available:

Hrs. Per Day: Day Night Any

NAICS or SIC Codes:

need to look up your code? Look here

Registered with CCR?

Yes No

Industry:

Skills and Proficiencies:

	Business Instructor
	Virtual Assistant
	Web Developer
	Flash Developer
	Programmer
	Interpreter

	Internet Research
	Proofreader
	Graphic Designer
	Independent Sales Rep
	Public Relations
	Marketing

Reference Name	eMail Address	Phone No.

Certification and Agreement

Please Read Your Form Carefully Before Submitting.

By submitting this electronic form, I authorize VSSCyberOffice to investigate all areas contained in this application, including reference checks and completion of a criminal records check, if applicable. I also understand that additional information and supporting documentation may also be requested at time of selection, and, that misrepresentation or omission of facts automatically disqualifies me/my company from future contracting opportunities with VSSCyberOffice.com