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First & Last Name
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Location (City & State)
Information Technology Experience	Information Technology Experience Beginner (0 to 2 yrs) Entry Level (2 to 5 yrs) Mid Level (5 to 10 yrs) Experienced (10+ yrs)
Approximate Start Date	Immediate Next Few Weeks Next Few Months
Availability (select all that apply)	Availabilty 10hrs/week 20hrs/week 40hrs/week Days Nights Weekends Holidays Travel Approximate Start Date Immediate Next Few Weeks Next Few Months
Type of Work You've Done