Independent Contractor Form

In exchange for the consideration of my contract position with Eminence Massage, I agree that neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of Independent Contractor handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other company practices, shall serve to create an actual or implied contract of hiring or to confer any right to remain an independent contractor of Eminence Massage or otherwise to change in any respect the Independent contractor-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /Owner/Manager of the Company. Both the undersigned and Edna King may end the contract relationship at any time, without specified notice or reason. While in position with the company, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this contract. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the company permission to contact schools, previous employers, contractors (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I further understand that continued work may be based on the successful passing of job-related physical examinations. I understand by becoming an independent contractor with Eminence Massage I will be provided compensation of services and I understand that, in connection with the routine processing of a weekly paycheck, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, back round checks, license checks, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I understand that I as an Independent contractor with Eminence Massage, I am responsible to file my taxes accordingly with provided 1099 forms provided at the beginning of each year. I understand do to certain areas (Geographic, seasonal changes, city, or local community activities and weather conditions) contracted work with Eminence Massage may flourish or decline, do to consumers/clients leisure, contractors repeat calls will also induce or reduce consumer/clients in specific areas. I understand and give consent to using company provided login information will not be abused in any manner and are only for purposes of guiding my talents, skills and understanding as a mobile massage therapist. I understand Generally Eminence Massage Will pay a percentage of published rates for all mobile spa services, which can be viewed on the companies work/advising forms and explained more thoroughly upon hiring. We understand that screening clients is a legitimate concern. If Consumer/client cancels upon therapist arrival do to emergency, work related or personal reasons, or of Consumer/client is deem unfit to receive massage service, therapist will be compensated for 50% of the regular priced one hour massage session example (under the influence of any drug or alcohol related substances, inappropriate gestures or advances at beginning or during time of session) prices are fully subject to change I therapist/esthetician/cosmetologist declines sessions. I understand that if I become temporarily unable to perform accept any appointments do to a medical condition related to pregnancy or illness, trauma or obtain a medical condition which can inhibit my performance and position as a Independent Contractor with company I will not accept appointments during this period. If I choose I can also by choice inform Eminence Massage company to remove me from contract roster for a certain period and be added on once I am fit to take appointments. I understand if by choice I do not accept appointments for over a period of three months without providing the company cause I can be subject to be having my contract terminated with Eminence Massage LLC company. I understand that becoming an independent contractor with Eminence Massage, I will honor the terms of each financial transaction whether monies owed or due to the company and such forth to my self. I will not solicit my personal services to Eminence Massage or offer any unprofessional services to clients. If I fell to honor these terms I will be subject to immediate termination and may face legal prosecuting. I further understand that my work with the Company and contract relation with the Company is terminable at will for any reason by either party. I hereby authorize any person, or company I have listed or mention as a reference on my written or verbal employment application /consent to disclose in good faith any information they may have regarding my qualifications and fitness for employment/work. I understand I will immediately summit any change of contact information such as change of address or phone number to the provided and appropriate information form diligently while once contracted with Eminence Massage. I will abide by regulations of having professional liability insurance and appropriate license forms at all times and understand as an independent contractor, I am providing my own liability insurance while catering spa services with Eminence Massage. I understand that given insurance and license information is subject to verification yearly and at Companies discretion. I will inform my company of any discrepancies ever obtain on my license immediately. I will hold Eminence Massage, any former employers, educational institutions, and any other persons giving references free of liability for the exchange of this information and any other reasonable and necessary information incident to the contracting process. I understand By typing my name, Initials and providing information below I agree to terms and conditions of contract

Full Name:*

Initials*:

Professional License #:

Full Address

Social #:*

Direct Deposit

Bank Name:*

Account #* Routing#*

Account Type* CheckingSavings

Email:*

Date: