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* 1. Name

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* 2. Monmouth College Student ID#

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* 3. Permanent Address

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* 4. Cell Phone

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* 5. Email (Other than MC email)

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* 6. Major(s)/Minor(s)

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* 7. Actual Graduation Date

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* 8. Are you authorized to permanently work in the U.S.?

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* 9. How many internships have you had over the past 4 years? (Include for credit, non-credit, student teaching, research, independent studies)

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* 10. How many internships have you had this academic year? (Includes summer 2017, fall 2017 and spring 2018)

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* 11. Which of the following BEST describes your PRIMARY status after graduation? Please select only ONE of the following categories:

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* 12. If your PRIMARY status is employed full time OR employed part time please select the category which BEST describes your employment:

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* 13. If employed, please provide the following information concerning your employment:

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* 14. If your PRIMARY status is participating in a volunteer or service program, please provide the following information about your assignment:

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* 15. If your PRIMARY status is serving with the U.S. military, please provide the following information about your assignment:

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* 16. If your PRIMARY status is enrolled in a program of continuing education, please provide the following information concerning your education:

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