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* 1. First name:

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* 2. Last name:

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* 3. Job title:

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* 4. Company/organization:

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* 5. Email:

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* 6. Telephone:

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* 7. Which are you interested in hiring? (Check all that apply.)

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* 8. Choose the most suitable of Concordia’s three career centres, based on the opportunity you have available. (Check all that apply.)

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