Dinner for Eight: Host Registration Form

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* 1. First name:

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* 2. Last name:

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* 3. Email:

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* 4. Telephone:

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* 5. Job title:

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* 6. Company:

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* 7. Industry:

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* 8. Briefly list your main responsibilities to help our students better understand what your job entails. (Point form or short paragraph)

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* 9. Please indicate your preferred date to host your dinner (between February 17 and March 30, including Saturdays and Sundays):

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* 10. How many students would you like to host? (We suggest four to six students per host and a maximum of eight students per couple.)

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* 11. Where would you prefer to host?

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