CONFIDENTIAL

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* 1. Your Information:

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* 2. Major

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* 3. What career do you expect to enter immediately upon graduation?

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* 4. Work-study supervisor & work-study place of employment

EMPLOYMENT INFORMATION

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* 5. A. Have you secured a permanent position?

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* 6. A. If yes, name (Employer)

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* 7. A. Location

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* 8. A. Annual Salary

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* 9. A. Starting Date

Date

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* 10. A. Briefly describe your job.

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