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Job Shadowing - Host Registration - 2012
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1.
First name:
(Required.)
*
2.
Last name:
(Required.)
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3.
Job title:
(Required.)
*
4.
Company:
(Required.)
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5.
Industry:
(Required.)
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6.
Briefly list your main responsibilities to help our students better understand what your job entails.
(Required.)
*
7.
Will the student be required to sign a confidentiality agreement in your company?
(Required.)
Yes
No
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8.
Location of workplace (neighbourhood or city)?
(Required.)
*
9.
What month is most convenient for you to host a student this summer?
(Required.)
July
August
September
Comment:
*
10.
Email:
(Required.)
*
11.
Telephone:
(Required.)
