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Student Job Placement Form
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Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
E-mail Address
*
Your answer
Instructor(s)
Your answer
Program(s) Completed
Accounting Technician
Administrative Assistant
Automotive Technician (Brakes/Suspension/Engine Performance/Emissions)
Aviation Mechanic
Building & Grounds Worker
Child Development
Computer Operator
Computer Repair (A+ Certification/Cisco Networking/Cyber Security)
Electrician
Emergency Medical Technician (EMT)
Graphic Design
Machinist
Maintenance Supervisor
Medical Assistant
Real Estate
Video Production
Welding
Other:
Employer
*
Your answer
Employer Address
*
Your answer
Employer Phone and/or Web Address
*
Your answer
Job title
*
Your answer
Hire Date
*
MM
/
DD
/
YYYY
Hourly Wage
Your answer
Hours
*
Full Time (30+ hours a week)
Part Time (Less than 30 hours a week)
Other:
Did this job represent an increase in wages from your last position?
Yes
No
Clear selection
Is this job related to what you studied at NVOC/EVSC/Aviation Center?
*
Yes
No
Comments
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