Paid Events Question Title * 1. General Information First Name Last Name Contact Number Email Address Home Address Question Title * 2. I worked this event as: Paid Event Opportunity Chaperone Other (please specify) Question Title * 3. What is the name of the company you worked with? Question Title * 4. Event Information Event Name Date of Event Time event was scheduled Actual time that you worked Question Title * 5. Have you completed a W4 with Southern California Health Institute? Yes No Once your information is submitted, please contact Jacquelyn and let her know that you have completed the online process.Please allow up to seven days to receive your check. Contact Maral at the front desk to see if your check is ready (818.980.8990) Complete!