2) Major:
3) Email Address:
4) Type of position:
Part Time Full Time Internship Co-Op
5) Job Title:
6) Date Hired:
7) Company/Organization Name:
8) Hourly Rate of Pay/Salary:
9) How did you hear of the position:
Career Services Classified ad Co-Op Office Friend or Family Member JobZone Indiana INTERNnet Other (please specify) If you selected other, please specify:
If you selected other, please specify:
10) Are you interested in being a mentor to IPFW undergraduate students?
Yes No
Thank you for filling out the above questionnaire.