Independent Contractor Stenographers
Please answer the questions below in order to be considered for assignments by Phipps Reporting.
Email address *
Full Name *
Your answer
Street Address *
Your answer
City *
Your answer
State: *
Your answer
ZIP *
Your answer
Cell Phone Number *
Your answer
Cell Phone Provider
Your answer
Home Phone Number
Your answer
Company Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Social Security or Tax ID (used for reporting income on your 1099)
Tax Number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Cell Phone
Your answer
What type of position are you seeking? *
How many years have you been reporting?
Your answer
Which CAT software do you use?
Average Untran Rate? (if under 1%, use decimal points)
Your answer
Do you do autoindexing in your CAT software?
Do you use a scopist?
Do you use a proofreader?
Do you write realtime to yourself each job?
Under reasonable conditions, do you feel you are capable of providing a draft within an hour?
Have you sold realtime as a service you provided?
Do you have and carry a hot spot to your job assignments (cell phone not applicable)?
What is the highest number of realtime hookups you have provided in a single assignment?
Your answer
How many iPads do you have to provide for realtime orders?
Your answer
Which products have you connected to in which you provided as a service to a client? (check all that apply)
Have you provided CART services?
Have you ever utilized any of the following platforms
Do you have an extra laptop with a webcam?
Have you provided captioning services?
On a scale of 1 to 10, how proficient do you feel you are in troubleshooting realtime issues for clients?
I do not understand technology
I am a technology wizard
Which writer do you use?
What technical areas of the law do you feel proficient in?
What is your highest level of education?
Name of your college degree
Your answer
Institution where you achieved stenography degree/certificate
Your answer
At what Q/A speed did you leave school?
Your answer
NCRA Current Certifications
NCRA Certificates
Your answer
Are you an NCRA member?
List state certifications and license number
Your answer
List each state court reporting association of which you are a member
Your answer
Please list any volunteer committees or leadership positions you have served for your state and/or NCRA
Your answer
List each current state notary number and expiration date
Your answer
List each "county, state" you are authorized and willing to travel to work
Your answer
Do you have a current passport?
List the countries other than USA in which you have reported
Your answer
List languages you speak other than English
Your answer
Which providers do you have a digital signature set up with?
How were you referred to Phipps Reporting?
Your answer
If you carry professional liability insurance, please state carrier and amount *
Your answer
On a scale of 1 - 5, how much do you love court reporting?
Do not like at all
Love this profession
Use three adjectives to describe yourself
Your answer
Anything else you would like us to know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service