Onboarding – WAVE USA

This Application is use to process new Independent Contractors and Managers. PLEASE FILL OUT ALL THE REQUIRED FIELDS.

Territory: *

Applying For? *

Sales Rep
Manager

Manager

Chaz Taylor
Emmanuel Dufort
James Joseph
Lennox Griffin

Campaign: *

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is your mailing address the same? *

Yes
No

Mailing Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

SSN: *

Email: *

DOB: *

RAD ID: *

Gender: *

Male
Female
Other

Payment Type: *

State ID, Social Security Card & Headshot Pictures: *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

PLEASE UPLOAD a picture of your state id, a (selfie) headshot picture with a solid background and a picture of your social security card.

YOU NEED TO UPLOAD a picture of your social security card so we can validate your identity. If you do not have it with you. You can save the application and resume when you have it. If you save the application we will email you a link so you can resume it later.

Consent / Agreement *

By submitting this application you agree and consent to a background check from Wave USA, Inc. & it's partners/affiliates.

Save and Resume Later