* 1. Student Name

* 2. University/College

* 3. Location of Placement

* 4. Date(s) of placement:

* 5. HR Discipline of Interest:

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

* 7. Name and discipline of mentor:

* 8. Would you recommend this mentor to other students?

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

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

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

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

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

* 14. Additional Feedback:

* 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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