FDA Undercover Purchaser - Screening Application, F-03232 (10/2023)

FDA Undercover Purchaser - Screening Application Wisconsin Residents Only

The following information is required to begin the application process. An FDA Adult Compliance Officer or an associate from the FDA Tobacco Retail Compliance Inspection Program in Wisconsin will contact you about the next steps of the application process.

PLEASE NOTE: This program is for Wisconsin residents only.

1. First name ONLY *This question is required.

2. Pronouns *This question is required.

4. Will you turn 21 in 6 months or less? *This question is required.

4. Do you currently live in or attend school in Wisconsin? *This question is required.

5. In what city/town do you live and/or go to school? *This question is required.

6. Please list an email to which we can send an application. *This question is required.

7. At what phone number can we reach you? *This question is required.

8. When are you available to work? Check all that apply. *This question is required.

Weekday mornings/afternoons
Weekday evenings/nights
Weekend evening/nights

9. Is there anything else you'd like to share about your availability?

10. How did you hear about this position? *This question is required.

FDA Undercover Purchaser - Screening Application, F-03232 (10/2023)

FDA Undercover Purchaser - Screening Application *Wisconsin Residents Only*

FDA Undercover Purchaser - Screening Application Wisconsin Residents Only