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| Current School | Grade Level | Graduation Year | Student School ID |
| Date Of Birth | Age | Internship Area | School Advisor |
| 0 | |||
| Student Gender | Student Sex | Ethnicity | Race |
| CTE Programs | List of Classes Taken | Semesters Available | Communication Preference |
| Area of Interest | Work Hours/Week | Days Available | Student Status |
| Educational Goals | Environmental Preferences | Internship Gain |
| Previous Work Experience | Addition Skills | |
| Personal Email | Student Cellphone | |
| Address | City | State | ZIP |
| Survey Question 1 | Survey Question 2 | Survey Question 3 | Survey Question 4 |
Notes:
|
Notes:
|
Application & Placement Status |
| Company | Internship Title | Application Date | Selected | Placement Date | Start Date | End Date | Status |
|---|
Application & Placement Status-1 |
| Company | Title | Selected | Placement | Start | End |
|---|