Personal Information (check all that apply)

Name: eMail:
Phone:
Workweek Desired (based on a 40-hour workweek):
  Full-time   Part-time

Dates of Availability
  from to

Education (most recently attending):
  Undergraduate program   Graduate program

If undergraduate, credit level entering fall semester 2006:
  Freshman   Sophomore   Junior   Senior

If post-graduate, credit level entering fall semester 2006:
  1st year   2nd year   3rd year

Focus/Major (if any):

Professional Preferences

Geographic preference: 

Ideal Company Size:
0-100 employees   101-500 employees
500+ employees   No preference

Tell us about your ideal work environment:

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