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Last Name *
First Name *
Where did you go to high school? *
 Best Phone Number *
Student Teaching Semester *
Placement 1 *
Placement 2 (This is not required for all education students./Please choose a 2nd placement if needed/wanted)
What is your major? *
Content Area (Secondary Only)
Desired Corporation Choice #1 *
If you selected other in the last question, please describe below:
Desired Corporation Choice #2 (This is not required; please only fill this out if you have interest in multiple systems)
Clear selection
Desired Corporation Choice #3 (This is not required; please only fill this out if you have interest in multiple systems)
Clear selection
Questions?  Thoughts?
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