| Name (first and last): |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| E-mail: |
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| Cell Phone: |
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| Please select the day you plan to attend CORE: |
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| Identify your top three on-campus positions, and briefly state why you are interested in that position. |
| First Choice: |
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| Second Choice: |
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| Third Choice: |
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High School Activities: |
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| Volunteer Experience: |
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| Work Experience: Job Title, Employer, Responsibilities, Dates of Employment |
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| Computer and Other Skills: |
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| Name, Phone Number, E-mail for Two References (may include Clarke Admissions Counselor, Teacher, Work Supervisor): |
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If you have a resume, please e-mail it as a MicroSoft Word attachment to careerservices@clarke.edu.
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