Intake Form

First Name *
Required
Last Name *
Required
Email *
Required
LinkedIn Profile
GitHub Link
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? Did I miss any important tech in the Skill section? Is there anything you think I should know? Or anything you would improve about this intake form?
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