*NAME

*EMAIL ADDRESS

*PHONE

*In what industry or industries to you have the most experience? (I.e. Oil and Gas, Timber Industry, etc.)

*What special certifications or qualifications do you have? (I.e. Python, Lean Six Sigma, etc.)

*What is your current employment status and availability? (I.e. Self-employed independent consultant, self-employed auto mechanic, Full-time executive looking for side work, etc.)

*Describe why you are qualified to work as a consultant:

*Please provide a link to any other relevant internet presence (i.e. LinkedIn, website, etc.):

*MESSAGE

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