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Brixos Service Provider Interest Form
Thank you for your interest in becoming a Brixos service provider. Our team takes pride in our work and we hire the very best. The questions in this form will allow us to understand your experience and skillset to determine if you are the right fit for Brixos.

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What is your full name? *
What is your email address? *
Please enter your phone number, including the area code. *
Please enter the name of your company or the company you work with. *
Do you or the company you work for have general liability insurance? *
All Brixos service providers are required to have insurance.
Please list all professional licenses you hold. *
Which of the following do you have experience in? *
Required
How long have you been working in the home improvement and maintenance industry? *
List the days and times you are available to work. *
What type of jobs do you prefer? *
Required
What type of phone do you have? *
Provide a short description of the two largest projects you have worked on in the last 24 months. Please send photos of these projects to helpme@brixos.com *
Please provide 2 references: name, phone number and email address. *
By providing your references, you are giving Brixos permission to contact them.
Please provide a link to a website where customers have rated your services. *
Examples: Facebook page, Yelp account, Google Listing.
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