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* 1. Name

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* 2. College/University

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* 3. Position Title

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* 4. Role

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* 5. Email Address

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* 6. Phone Number

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* 7. Who did you meet with?

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* 8. What was the general purpose/topic for your meeting?

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* 9. Would you say that your meeting was productive and helpful?

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* 10. What, if anything, would have improved your experience?

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* 11. Would you be interested in meeting with this person again?

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* 12. Additional comments

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