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INTERN/MENTORSHIP PROGRAMME DATA COLLECTION FORM
This form is for data collection evaluation of all interns/mentees of Maxfront Technologies Ltd. Do note that all information provided here are treated with strict level of confidentiality; these data SHALL NOT & WILL NOT be shared with any third-party organization. 
Your evaluation begins with the completion of this form, so CAREFULLY read all instructions before responding.
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Names (First name, SURNAME) *
Contact address (house number, street name, area, state) *
Email address *
Phone number (WhatsApp) *
Institution *
What is your discipline / Course of study? *
What is your current G.P.A?
What Skills / Trainings / Certifications do you currently have? (Kindly check all that applies to you).
*
Required
Kindly assess yourself per item listed base on the above question (on a scale of 1 - 5, where 1 = Poor and 5 = Excellent) *
Please indicate your career interests by selecting from the following list. Select at least one (1) option but not more than three (3).
Column 1
HTML
CSS
JavaScript
Vue JS
Angular
C#
.Net Core
Azure
Business Development
Sales / Marketing
Web development
How long do you intend to serve with Maxfront Technologies? (in months e.g. 4 months) *
When is your expected End Date for this program? *
MM
/
DD
/
YYYY
Are you open to operating remotely? *
What are your expectations at the end of your internship program? 
(This information will be used to evaluate your performance upon completion.)
*
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