Student Name

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* 1. Student Name

University/College

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* 2. University/College

Location of Placement

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* 3. Location of Placement

Date(s) of placement:

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* 4. Date(s) of placement:

HR Discipline of Interest:

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* 5. HR Discipline of Interest:

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

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

Name and discipline of mentor:

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* 7. Name and discipline of mentor:

Would you recommend this mentor to other students?

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

If no, why would you not recommend your mentor?

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

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

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

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

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

How would you rate your overall experience with your mentor?

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

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

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

Additional Feedback:

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* 14. Additional Feedback:

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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* 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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