First name:

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* 1. First name:

Last name:

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* 2. Last name:

Best email address for you:

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* 3. Best email address for you:

Best phone number to reach you:

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* 4. Best phone number to reach you:

I will be attending KWPP Career Day:

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* 5. I will be attending KWPP Career Day:

If yes, which session will you be attending?

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* 6. If yes, which session will you be attending?

Have you volunteered for KIPP before?

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* 7. Have you volunteered for KIPP before?

What career field will you be representing? (i.e. architecture, finance, performing arts, healthcare)

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* 8. What career field will you be representing? (i.e. architecture, finance, performing arts, healthcare)

Your business affiliation:

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* 9. Your business affiliation:

If someone recruited you for Career Day, tell us who:

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* 10. If someone recruited you for Career Day, tell us who:

Will you be bringing anyone with you? If so, please list their name(s) and affiliation below:

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* 11. Will you be bringing anyone with you? If so, please list their name(s) and affiliation below:

Thank you for your time, and we hope to see you at Career Day!
If you have any questions please contact Francie Middleton: fmiddleton@kippphiladelphia.org or 267-353-0384

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