Thank you for your interest in serving as a consultant for The Moss Group, Inc. Please complete this initial assessment of your expertise and skills. This is the first step in TMG's process to determine your interests. Please also attach your resume or CV and send to Michelle Duhart (mduhart@mossgroup.us).

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* 1. Please provide your contact details below.

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* 2. Have you worked in the following settings? Check all that apply.

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* 3. Have you worked with the following populations? Check all that apply.

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* 4. Please identify additional languages you speak (other than English), including sign language.

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