Register with Cosmotek
Email *
What’s your social media handle? *

Which location are you applying for?

*

I’m interested in

*

Name

First and Last Name
*

Text message number

*

Which licenses do you hold?  

*

Could you please elaborate on the range of services you are skilled in?

*

How did you hear about us?

*

When do you want to start?

*
MM
/
DD
/
YYYY

Hourly/Salary Requirements

*

What days and times are you available to take jobs?

*

Any other comments

*
By checking this box, I consent to:

Cosmotek College and its affiliates (Cosmotek Masterclass, Amzinga, 5 Star Capital) may send electronic communications via email or text message, including news, events, career opportunities, and other related content, in accordance with the Privacy Policy. I understand that I can stop receiving such communications at any time by clicking “Unsubscribe” in any email or replying STOP to any text or message I receive.
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report