Dazmedia Contactractor Form


DazMedia, Inc is always looking for talented people for work in all areas of its business.
If you or someone you know, would like to be considered for a project please provide the
contact information below.

First Name: Address:
Last Name: City, State: , 
Home Phone: Zip:
Cell Phone: Other Phone:
Email Address:

Availability Day Evening Weekday Weekend
Hours per day 0-4 4-8 8-12 As long as needed
Hours per week 1-20 20-40 40+ As long as needed
Long term in weeks 1-3 3-6 6-9 Not available weekly

Hourly Rate:   work at: DazMedia Home On Location

What equipment do you have at home?


Skills: check all that apply

Artist Developer Programmer Production Audio/Video Writer Misc.
Animator Director HTML Grfx Vid Editor Copywiter Photog
Designer Lingo ASP HTML Director Multimedia Actor
Illustrator CD Access Director Producer CBT/WBT VO
  Website SQL   Camera Website Admin
    Oracle   Composer Medical  
    Java   Sound Video  
    Java Script        
    CGI/Perl        
    LMS        

Skill Level: 0 = no experience - 5 = expert level, could teach others

Photoshop: 0 1 2 3 4 5
Illustrator: 0 1 2 3 4 5
Director: 0 1 2 3 4 5
Authorware: 0 1 2 3 4 5
Flash: 0 1 2 3 4 5
Action Script: 0 1 2 3 4 5
Go Live: 0 1 2 3 4 5
Dreamweaver: 0 1 2 3 4 5
Course Builder: 0 1 2 3 4 5
Fireworks: 0 1 2 3 4 5
Homesite: 0 1 2 3 4 5
Peak: 0 1 2 3 4 5
Visual Basic: 0 1 2 3 4 5
Cold Fusion: 0 1 2 3 4 5
C++: 0 1 2 3 4 5
Crystal Reports: 0 1 2 3 4 5
CGI / Perl: 0 1 2 3 4 5
Media 100: 0 1 2 3 4 5
Premier: 0 1 2 3 4 5
Media Cleaner: 0 1 2 3 4 5
After Effects: 0 1 2 3 4 5
DVD Studio Pro: 0 1 2 3 4 5
3D Studio: 0 1 2 3 4 5
Swift 3D: 0 1 2 3 4 5
Cool Edit: 0 1 2 3 4 5
Sound Edit: 0 1 2 3 4 5
Toast: 0 1 2 3 4 5
MS Word: 0 1 2 3 4 5
Excel: 0 1 2 3 4 5
Access: 0 1 2 3 4 5
PowerPoint: 0 1 2 3 4 5

Work History
          
Type of work?
Full time
Long term cont
Short term cont
clients
freelance
Type of Projects?
Interactive CD
Computer Training
Web Training
Website
DVD
Type of Industries?
Pharmaceutical
Telecomm
Education
Government
Retail
View Samples by?
Email
Website
CD
Portfolio
Other

Other information you would like us to know: (ie. web address, contact info etc.)

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