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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone

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* 5. How would you prefer we contact you?

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* 6. What is your major in college?

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* 7. What is your minor in college? (If applicable.)

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* 8. Year

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* 9. What is your area of interest for an Ingeniux internship? (Select all that apply.)

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* 10. Are you looking for a job after graduation?

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* 11. Is there anything you'd like to tell us about yourself in addition to the above?

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* 12. Do you have any questions for us?

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