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First and Last Name
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Company Name
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Email Address
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Phone Number
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Point of Contact for Internships (If Different)
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POC Email Address
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In what departments/teams are you looking to place interns?
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If "other", which departments/teams would you place interns?
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Do you have a preference for a high school or college-aged intern?
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How many interns do you have the capacity to host?
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Would your company be interested in other volunteer activities with students?
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