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1. Student Name

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2. University/College

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3. Location of Placement

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4. Date(s) of placement:

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5. HR Discipline of Interest:

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6. Were you placed with a mentor who was in a discipline you requested/are interested in?

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7. Name and discipline of mentor:

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8. Would you recommend this mentor to other students?

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9. If no, why would you not recommend your mentor?

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10. What about the program did you find to be most valuable to you?

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11. What about the program did you find to be least valuable to you?

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12. How would you rate your overall experience with your mentor?

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13. How would you rate your overall experience with the Job Shadow Program?

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14. Additional Feedback:

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15. If you know of another student that might benefit from the PHRA Job Shadow Program, please provide their name and e-mail below:

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