New Contractor Questionnaire – Midlands Testing Services, Inc.

Thank You For Your Interest

Hello,

Thank you for your interest in becoming a DOT certified sub-contractor to service the clients of Midlands Testing Services, Inc. (MTS). Midlands Testing Services is a unique company that provides on-site alcohol testing and urine collection for drug testing to our railroad clients as required by the Federal Government. While most companies ask their employees to drive to a clinic for these tests, we go to the client on the day and time as they request. Most of the testing events are scheduled a few days in advance while other tests are “come right now” situations.

This part time work is different from normal part time work due to the nature of the railroad industry. Railroads operate 24/7/365 and therefore the time of day of these tests can happen is anytime. Most testing times happen anywhere from 6:00 AM to 11:00 PM at night. A small amount of testing is done overnight. You would need to be available 24 hours a day. We understand that people do get sick or go out of town to visit family, or go on vacation, that is fine and we understand.

If you have another job this is not a good fit. If you are the only caregiver to an elderly adult or young child this may not be a good fit, especially if you do not have someone else that could help with your care giving responsibilities on very short notice. The individuals who excel at this position are the ones that are able to accept the work that is scheduled in advance and accept the work if we need you to go immediately. For some testing situations, you will be gone for 1 hour. For others, you may be gone for up to 6 hours.

As mentioned before, this would be considered part time. You may have two jobs on one day and then not have another one for 4 days. Some months you may have a job every day for a week straight. The work flow is not known until we are contacted by the client. Part time, but you must be available when the work comes in.

We will discuss the compensation for accepting the work during a phone interview but most of the sub-contractors we work with average about $40 per hour from the time they leave their home, perform the testing, and return home. Accounts Payable releases payment for completed jobs twice a month via direct deposit.

Please answer the following questions and provide the requested information below. Your answers and information will be sent to our office for review.

Please provide answers to the following questions

Do you understand you will not be an employee of MTS but rather a 1099 sub-contractor? *

Do you understand the work to be performed would be considered part time? *

If you accept this part time work, will you continue to look for additional work? *

Are you looking for a full time job? *

Do you have a reliable vehicle? *

Do you have a cellular phone? *

Do you have access to a computer with a good internet connection and a copier/scanner? *

Are you willing to accept work that is up to a two hour drive from your location? *

Are you willing to read the DOT regulations on Breath Testing and Urine Collections? *

Are you willing to meet with an MTS representative and review these regulations? *

Are you willing to process the needed paperwork at the end of each job you do? *

Have you ever been charged or convicted of a felony? *

Are you willing to go through our online training course that takes approximately 6 hours to complete? *

Do you have a lifestyle where you are able to stop what you are doing, go and perform the work, and be gone from 1-6 hours? *

Will you agree to a federally mandated background check, required for anyone going to a mass transit location (rail yard)? *

First Name *

Last Name *

Address *

City *

State *

Phone Number *

Email Address *

Please provide a brief work history *

Reference 1 (including name, phone number and relationship to you) *

Reference 2 (including name, phone number and relationship to you) *

Please explain why, after reading through the details of the work, you believe you would be a good fit *

Please explain how your current lifestyle will allow you to accept work all hours of the day if needed (besides in times of illness or vacation) *

Please provide any additional information you feel would be important for us to know

6 + 0 = ?Please prove that you are human by solving the equation *

Thank You For Your Interest

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