Full Name *

Street Address *

City *

State: *

ZIP *

Cell Phone Number *

Cell Phone Provider

Home Phone Number

Company Name

Date of Birth

Gender

Social Security or Tax ID (used for reporting income on your 1099)

Tax Number

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Cell Phone

What type of position are you seeking? *

How many years have you been reporting?

Which CAT software do you use?

Average Untran Rate? (if under 1%, use decimal points)

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?

How many iPads do you have to provide for realtime orders?

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?

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

Institution where you achieved stenography degree/certificate

At what Q/A speed did you leave school?

NCRA Current Certifications

NCRA Certificates

Are you an NCRA member?

List state certifications and license number

List each state court reporting association of which you are a member

Please list any volunteer committees or leadership positions you have served for your state and/or NCRA

List each current state notary number and expiration date

List each "county, state" you are authorized and willing to travel to work

Do you have a current passport?

List the countries other than USA in which you have reported

List languages you speak other than English

Which providers do you have a digital signature set up with?

How were you referred to Phipps Reporting?

If you carry professional liability insurance, please state carrier and amount *

On a scale of 1 - 5, how much do you love court reporting?

Use three adjectives to describe yourself

Anything else you would like us to know?