Your Information

This section gathers information about you and your internship.

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* 1. What is your first name?

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* 2. What is your last name?

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* 4. Semester & Year: (Example - Summer 2010)

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* 6. What was your supervisor's first name?

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* 7. What was your supervisor's last name?

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* 8. What is the name of your host company?

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* 9. Type of industry/company?

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* 10. Is the company?

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* 11. Company location:

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* 12. Size of Company?

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* 13. Were you offered employment upon graduation?:

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* 14. Were you offered a position if one was available?:

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* 15. Type of pay for the internship?:

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* 16. If paid, rate of pay?:

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* 17. Additional comments on any employment offer:

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