Application Form

Have a say in the food that you eat--and get paid for it!

Become a panelist for Seattle 2401! Just follow these 3 steps

Complete the form below and click Apply Now.
Check your email. You will receive an email with a link to click and confirm your application.
Please await approval. You will be contacted with the next steps regarding our Panels.

For more detail, please refer to our FAQ page or contact us at seattle2401@compusensecloud.com.

First Name:

Last Name:

Panelist Name (First & Last Name):

Email Address:This will be your user name to login to our panelist website.

Not a valid email address

Confirm Email Address:

Not a valid email address

These email addresses must match

Password:

Too Short

Confirm Password:

These passwords must match

Zip Code: (optional)

Phone Number: (optional)

Age Range:

How do you define your gender?

Describe your gender:

Please select which ethnic group you identify with (select all that apply):

Marital Status:

Annual Household Income Before Taxes:

Employment Status:

Highest Education Level Completed:

Please select the items that you are NOT willing to consume:

How did you hear about us?:

Other:

Name of Referring Panelist:

Please check to confirm that you have read and agreed with the Terms of Use

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