Section 1 of 1
Potential Employer Interest Form
Employer Name:
Employer Name:
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Contact Phone Number(s):
Contact Phone Number(s):
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Contact E-mail:
Contact E-mail:
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Company Website:
Company Website:
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Brief Description of the Company:
Brief Description of the Company:
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Name/Department of Intern Position:
Name/Department of Intern Position:
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College Majors Appropriate for this Position:
College Majors Appropriate for this Position:
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Potential Job Responsibilities for Intern:
Potential Job Responsibilities for Intern:
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Desired Skills for the Intern:
Desired Skills for the Intern:
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Please suggest other employers that may be interested in our program:
Please suggest other employers that may be interested in our program:
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