1. Please complete this survey if you are unable to attend the Field Fair.

You should only be completing this form if you are a Full Time Student entering your Advanced Year Field Placement in the upcoming academic year and you want a field placement in Erie/Niagara County. Otherwise, your attendance is optional.

This information will be sent to Laura Lewis, Director of Field Education. You may be contacted as a follow-up.

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* 1. Student Name:

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* 2. Status: ex. Full Time Foundation Year Student

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* 3. Reason you are unable to attend the Field Fair

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