Job Shadowing Host Form
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1. Default Section
1
. Contact Information
Contact Information
Name:
Title:
Institution/Repository:
Phone:
E-mail:
Address:
2
. Type of repository (select all that apply):
Type of repository (select all that apply):
Academic
Art/museum
Corporate/legal
Government
Historical society
Private non-profit
Other (please specify)
3
. What are your primary duties (select all that apply)?
What are your primary duties (select all that apply)?
Acquisition and appraisal
Arrangement and description
Conservation
Digital projects
Management
Records management
Reference
Other (please specify)
4
. Is your repository accessible by public transportation?
Is your repository accessible by public transportation?
Yes
No
5
. How many students can you host (separately or simultaneously)?
How many students can you host (separately or simultaneously)?
6
. How long can you host?
How long can you host?
Half-day
Whole-day
7
. Comments (optional):
Comments (optional):
Thank you for your time. If you have any questions, please e-mail scosaa@simmons.edu.
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