Chancellor's Undergraduate Internship Program (CUIP
Selection Process Survey
Bright Beginnings, Bright Futures
Bright Beginnings, Bright Futures
First Name
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Last Name
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First name for Name Tag
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Address:
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City
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State: (2 letter abbreviation)
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Zip:
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Phone Number:
(###)-###-####
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Email:
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College
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Student ID #
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Major
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Projected year of graduation
Your answer
What is your Gender (Optional)?
What is your ethnicity (optional)?
Your answer
Will you be able to attend the required CUIP Class held on Monday nights from 5:20-6:55 p.m. for Fall, Winter, and Spring quarters?
Will you be a full time student for the entire academic year (Fall, Winter, and Spring quarters)?
Select your first choice of CUIP positions for which you were interviewed:
Your answer
Second Choice
Your answer
Third Choice
Your answer
Fourth Choice
Your answer
How did you hear about CUIP?
Please check all that apply:
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