FieldNation Application Form
Please take a couple of minutes to fill out this form to formally be added to our interviewer database.

A Field Nation Team Member, also known as a Fieldworker is an independent contractor who is hired on a project by project basis to conduct marketing research on behalf of Field Nation Research Inc., usually utilizing mobile survey Technology, programmed onto PDAs or other mobile computing devices.  Typical studies deal with customer satisfaction, event feedback, focus group recruitment, taste testing, compliance checking, price auditing or other applications where conducting a survey right at the point of experience would be beneficial to our clients.

There is no cost to become a Fieldworker.

We would love to have you join our team of Fieldworkers if you:

   *    Have an excellent command of the English language (second or third languages are a huge asset as well!)
   
   *    Feel comfortable approaching strangers and asking them to participate in marketing research
   
   *     Are able to deal with rejection and persevere after hearing many “no’s”
   
   *     Are able to do what it takes to make a completion quota
   
   *     Feel comfortable with or learning about technology
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First Name: *
Last Name: *
Gender: *
Date of Birth: *
Please use M/D/Y format
Address: *
Mailing Address
City: *
Province/State *
Please write it long form (ie British Columbia)
Country: *
Postal/Zip Code: *
Where you receive mail
Primary Telephone Number: *
The best number to reach you at
Cell or Secondary Telephone Number:
Email address: *
Which Languages are you comfortable speaking in: *
Required
Please select the days of the week you are generally available for work: *
Required
In general, how many hours per day are you available to work? *
How comfortable are you approaching a stranger and asking them to fill out a survey. *
I'm very shy
No Problem!
How well do you handle rejection/refusals? *
I get discoraged easily
Nothing gets me down
Have you ever conducted any Marketing Research fieldwork before? (Intercept interviewing, focus group recruiting, taste test sampling, creative testing, site evaluations, compliance checks, etc.)  If yes, describe your experience, if no, explain why you would make a good fieldworker: *
How far would you be willing to travel without additional compensation to an assignment? *
In kms
Which of the following Social Media services do you have an account with? *
Required
Do you feel you would be able to go to an assigned location every day you are scheduled for; conduct  in-person surveys; meet an agreed apon quota of completed surveys; and then upload your surveys as often as required? *
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