ALL Information Must Be Filled Out

First Name:		Last Name:
Company:
Location
Address:
City:		State:
Contact Information
Home:		Cell:
Email:		Web Page(if any):

Affiliation

Veteran

ITT-Tech

DeVry

Other

Areas of Specialization

Graphic design	Electronic Prepress	Programming
Systems	Data Entry	HTML
CGI/Java	Macromedia	Sys Admin
Internet Setup	Database Design	Repair/Support
Training	Network Cabling	Phone Support

Platforms:

Windows XP

Windows 2000

Windows 2003

Mac

O/S 2

Unix

Novell

Other Important information

(ie: Companies you work or subcontract for, Software Packages, or other useful information.)

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