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* 1. First Name

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* 2. Last Name

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* 3. Employer/Organization Name

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* 4. Title:

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* 5. Phone Number:

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* 6. E-mail Address:

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* 7. Industry Type

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* 8. Employer/Organization Size

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* 9. Has the employer/organization hosted an intern before?

For more information, please contact Chiara Leroy at Chiara.Leroy@sdcounty.ca.gov. Thank you!

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