Intake Form

First Name
Required
Last Name
Required
Email
Required
LinkedIn Profile
Resume
    Click or drop your files here
    Skills
    Required. Select all that apply.
      City, State/Region
      Required
      Country
      Required
      Hourly Rate (USD)
      Required. This gets negotiated with every client, but a ballpark figure is helpful.
      Full-time/Part-time
      Required. Select all that apply.
        Notes
        Anything else on your mind? Is there anything you think I should know? Or anything you would improve about this intake form?
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