Contract Employment Opportunities

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Contract Opportunities Form

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Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

Email(Required)

How long are you available to work on a task assignment?(Required)

One-two days

One-two weeks

A month or more?

Other

How much notice do you require to start an assignment?(Required)

Can you temporarily relocate for an assignment?(Required)

Yes

No

How long could you deploy for a temporary assignment?

One-two days

One-two weeks

A month or more?

Other

What is your desired hourly rate?(Required)

Do you have EOC experience?(Required)

Yes

No

Please elaborate on your experience in EOC and list the roles you have participated in.

Do you have IMT experience?(Required)

Yes

No

Please elaborate on your experience in IMT and list the roles you have participated in.

Do you have experience providing Training or supporting exercise conduct?(Required)

Yes

No

Please elaborate on your experience in providing Training or supporting exercise conduct experience.

Resume(Required)

Max. file size: 32 MB.

References(Required)

Name

Phone

Email

Max of 3 rows. To add a row, use the plus button to the left.

Recent Photo (headshot)(Required)

Max. file size: 32 MB.

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