JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
JC Destinations Local Contractor Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Contractor Business Name
*
If contractor, enter first and last name.
Your answer
Contractor Business Owner Name
*
If contractor, enter first and last name.
Your answer
Contractor Address
*
Your answer
Contractor City, State, ZIP
*
Your answer
Contractor Phone Number
*
Your answer
Contractor Email Address
*
Your answer
Best Time to Contact Owner
*
Time
:
AM
PM
Number of Locations
*
Choose
0
1
2
3
4
5
6
7
8
9
10
Number of Agents
*
Choose
0
1
2
3
4
5
6
7
8
9
10
Contractor Notes
Write special instructions that are provided by the contractor, which must be done, in order to complete the task.
Your answer
Google Application Familiarity
*
This list was compiled from research submitted to
seniorliving.org
Expert (knowledgable on all functions)
Functional (knowledgable on most functions)
Average (can use, but unaware of many functions)
Novice (limited knowledge of application)
New Comer
Google Drive
Gmail
Google Docs
Google Slides
Google Forms
Expert (knowledgable on all functions)
Functional (knowledgable on most functions)
Average (can use, but unaware of many functions)
Novice (limited knowledge of application)
New Comer
Google Drive
Gmail
Google Docs
Google Slides
Google Forms
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report