Name:

E-Mail:

Phone:

City:

- State: - Zip:

Systems Knowledge: (check all that apply)

[  Windows XP][  Vista]

[  2000 Server][  2003 Server][  2008 Server][  Linux]

[  Virtualization][  Citrix Metaframe ][  Terminal Services ]

[  Exchange Server ][  SQL Server ][  Other]

Notes: Please note any areas of expertise or skills you have to offer.

What areas can you travel to for assignments? (check all that apply)

[ Dade County ][ Broward County ][ Palm Beach County ]
[ Martin County ][ St Lucie County ][ Okeechobee County ]
[ Indian River County ][ Brevard County ][ Osceola County ]
[ Orange County ][ Volusia County ]

Which would you prefer? Full Time   Part Time

I'll be available, on average, hours per week.