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Adult Education Externship Employer Information
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Select Adult Education Related Program
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Choose
Adult Ed. Cardiographic Technician
Adult Ed. Dental Assisting
Early Child Care Education/Child Development Associate (Field Experience)
Adult Ed. Medical Assisting
Adult Ed. Phlebotomy Certification
Company Name
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Address
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City
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State
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Zip Code
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Contact Person
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Contact Phone
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Contact Email
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Possible Start Date
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Possible Work Days
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Monday
Tuesday
Wednesday
Thursday
Friday
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Possible Work Start Time
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Time
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PM
Possible Work End Time
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Time
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AM
PM
List one task/skill the externship student will be responsible for on job-site.
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Example: Safety
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List one task/skill the externship student will be responsible for on job-site.
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List one task/skill the externship student will be responsible for on job-site.
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Example: Safety
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