Worker Sign Up

As an EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER, MOONRISE, DOES NOT discriminate against applicants or employees because of their age, race, color, religion, national origin, sex or any other basis prohibited by law. Furthermore MOONRISE, will not discriminate against any applicant or employee because he or she is mentally or physically disabled, a disabled veteran, or a veteran of the Vietnam era, provided he or she is qualified and meets the requirements established by MOONRISE.

Become a Moonriser. Sign up is simple. Start with this form.

Legal First Name *
Preferred Name
Middle Name
Last Name *
Mobile *
What is your address? *
Start typing in your street address and select a suggested address from the list, it will autofill the city, state, zip, and country.
Why are you interested in Moonrise? *
If you had an emergency and needed quick access to cash, what would you do? *
Here at Moonrise, our clients expect you to arrive on-time and prepared for shifts. How many times in the past three months have you arrived late or unprepared for work? *
Have you ever been terminated from a previous employer due to attendance/tardiness? *
How many hours are you generally available to work each week? *
Moonrise has a variety of roles with our clients. Based off your experience/interests, what role would fit your background best? *
Our clients may require you to pass a background check and/or drug screen to begin working. Are you comfortable proceeding knowing this? *
How many miles are you willing to travel for work? *

Select the times you are available to take a shift: *
Sun
Mon
Tue
Wed
Thu
Fri
Sat
How did you hear about us? *
If referred by a friend enter their name here!

By clicking below each statement I agree and understand the following: