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Are you currently employed?   Please Select YES: Full-Time YES: Part-Time NO YES, but am interested in replacing current job

What is your weekly availability?   Please Select Available anytime Available certain times

Do you have access to an insured vehicle?   Please Select Yes, I have my own insured vehicle No, I use public transportation

Do you have access to an IBM-compatible computer with windows 2000 or better and access to the internet and a printer?   Please Select Yes, I have my own computer with high-speed Internet access Yes, I have my own computer with dial-up Internet access Yes, I have my own computer but no Internet access Yes, I use a friend's/family's/library's computer No, I don't have access to a computer and the Internet

Are You able to lift, bend and stand for long periods of time?   Please Select YES NO

What is the best time to contact you?   Please Select Morning Afternoon Evening

What is the best method of contact?   Please Select Please call me Please email me Please call and email me

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