Independent Contractor Videographers
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 / DBA
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 working as a legal videographer?
Your answer
Make and model of video camera you use
Your answer
Make and model of mixer you use
Your answer
Check the following microphone types you use
Do you use a backdrop?
Do you use lighting equipment?
Briefly explain the conditions in which you would utilize lighting equipment?
Your answer
Please check each of the following you have experience in providing:
Please check the proceedings you are willing to cover:
Check all items that you are able to provide if requested:
Are you capable of providing a draft video on site?
Do you create a simultaneous backup?
Briefly describe your method for creating a simultaneous backup.
Your answer
What is your highest level of education?
Name of your college degree
Your answer
Briefly state how you learned the videography craft.
Your answer
Do you have the NCRA CLVS certification
Briefly list any other videography-related certifications or certificates you hold.
Your answer
Are you an NCRA member?
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 (very important to list each one so we have you as available for that geographic region)
Your answer
Do you have a current passport?
List the countries other than USA in which you have performed videography services
Your answer
List languages you speak other than English
Your answer
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 legal videography?
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
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