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* 1. Name (and pronouns in parentheses)

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* 2. Cell phone #

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* 3. Email

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* 4. Please consider me for the following project spans (check all that apply):

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* 5. I expect to be available... (check all that apply: seasons, days, times, etc.)

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* 6. Please list any "black-out" dates/times you're not available (eg day job & hours, vacation, a show you're in, etc)

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* 7. I specialize in, or work best with... (check all that apply):

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* 8. What is your current city of residence?

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* 9. How I plan to travel to job sites

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* 10. Regions I'm willing to travel to include:

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