STUDENTS HAVE NOW IDENTIFIED COMPANIES TO WORK WITH!

Please fill out this survey only if you wish to be placed on a waitlist in case a company drops out.

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* 1. What is the name of your company or organization?

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* 2. City name?

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* 3. Name of contact person(s)?

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* 4. Cell phone?

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* 5. Email?

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* 6. Please explain what you need help with.

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* 7. Is your company/organization a non-profit?

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* 8. What is your website address?

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* 9. How many people work in your company/organization?

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* 10. What is your connection to Chapman University, if any? (not required)

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