Company name company address supervisor name

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COMPANY NAME: COMPANY ADDRESS: SUPERVISOR NAME: SUPERVISOR CONTACT NUMBER: DESCRIPION OF WORK: REASON FOR LEAVING: May we contact your previous supervisor for a reference? YES NO EMPLOYMENT 2 FROM (DATE): TO (DATE): PAY RATE: POSITION: COMPANY NAME: COMPANY ADDRESS: SUPERVISOR NAME: SUPERVISOR CONTACT NUMBER: DESCRIPION OF WORK: REASON FOR LEAVING: May we contact your previous supervisor for a reference? YES NO EMPLOYMENT 3 FROM (DATE): TO (DATE): PAY RATE: POSITION: COMPANY NAME: COMPANY ADDRESS: SUPERVISOR NAME: SUPERVISOR CONTACT NUMBER: DESCRIPION OF WORK: REASON FOR LEAVING: May we contact your previous supervisor for a reference? YES NO WHEN ARE YOU AVAILABLE TO START AN INTERNSHIP? DATE APPROX. HRS/WK What are your areas of interest? (i.e. finance, operations, human resources) 2
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What are your long-term career goals? How will this internship help you achieve them? What limitations, if any, do you have that may have a bearing on your placement? How did you hear about us? ___________________________________________________________ DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship, I understand that false or misleading information in my application or interview may result in my release. Signature of Applicant Date 3
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  • Fall '19
  • supervisor, Given name, Arabic name

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