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* 1. What is your business' name?

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* 2. Which of the following best describes your business?

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* 3. What region is your business in?

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* 4. Are you willing to sign a letter of support as part of ABLEs PBLMT proposal?

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* 5. Are there specific training courses or topics you would like to see included in our program?

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* 6. Are you willing to supervise a practicum student in a supervisory or managerial role in your business for a four-week period?

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* 7. What positions could you fill with a practicum student?

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* 8. Please provide a contact name and number here

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