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* 1. What is your name (first, middle, last)?

* 2. What is your Pitt email?

* 3. What is your phone number?

* 4. Where is your home town?

* 5. How many credits do you currently have?

* 6. What is your major?

* 7. Why are you interested in job shadowing?

* 8. What would you like to gain from this experience?

* 9. What types of previous activity or experience would you like to incorporate into a future career? Do you have an ideal career title?

* 10. Geographically, where would you like to job shadow?

* 11. Do you have available transportation?

* 12. When would you like to job shadow? (You may select multiple answers)

* 13. Do you have a resume?

* 14. Are there any companies/organizations/agencies that you are specifically interested in?

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