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| Your Name: * |
(include degrees or certifications) |
| E-mail Address: * |
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About Your Business |
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| Business Name: |
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| Business Address: * |
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| Business Phone: * |
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Fax: |
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Web Site:
(Home Page URL) |
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Briefly describe your work (core competencies, target markets, accomplishments, affiliations, etc.) *
Limit apx. 60 words.
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About Your Participation |
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Please provide a brief description of the types of interns you are seeking. Limit apx. 120 words. *
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| List printed materials you will provide: |
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