Curated Phases Application
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First and Last Name *
Address *
Contact Information (Phone Number or Email) *
Social Media
Start Date Available  *
MM
/
DD
/
YYYY
Date Available Until *
MM
/
DD
/
YYYY
Part time or Full time? *
Weekly Availability (Select all that apply) *
10am-4:30pm
4:30pm-11pm
Not available all day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Availability Exceptions or Notes.

Please specify in notes desired amount of hours Minimum/Maximum.
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