The following information is required: employment, work number (main line and direct line) first name, last name, street address of employment, street address of home, other contact number, date of desired appointment, duration of desired appointment, how you found me, and what your expectations of the appointment are. Please remember to be courteous and professional. I may ask for a reference as a matter of safety. You may fill out my application page (not yet available) and send it to me in a email or simply email me your information.