The Intern Experience Interest Form

The Intern Experience IN Fort Wayne

Interest Form
Name*

First NameLast Name
Personal Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Birth Date*

MonthDayYear
Date
Hometown*
College*
Graduation Year*
Internship Company*
Internship Email*
I would like to receive messages about upcoming events and information pertaining to The Intern Experience: IN Fort Wayne*

YesNo
On a Scale of 1-5, please rate your level of agreement.

1 meaning 'totally disagree' & 5 meaning 'totally agree'
Indiana is an exciting place. *

1

2

3

4

5

1 is Disagree, 5 is Agree
Fort Wayne is an exciting place. *

1

2

3

4

5

1 is Disagree, 5 is Agree
I could see myself living in Indiana after graduation.*

1

2

3

4

5

1 is Disagree, 5 is Agree
I could see myself living in Fort Wayne after graduation.*

1

2

3

4

5

1 is Disagree, 5 is Agree
I plan to get a job in Indiana after graduation.*

1

2

3

4

5

1 is Disagree, 5 is Agree
I plan to get a job in Fort Wayne after graduation.*

1

2

3

4

5

1 is Disagree, 5 is Agree
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The Intern Experience IN Fort Wayne