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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?