What is the company name or individual you are working for or planning to work for? *
Your answer
What is the name of the individual who will be supervising you? *
Your answer
What is the email address of the individual who will be supervising you? *
Your answer
What is the phone number of the individual who will be supervising you? *
Your answer
What is the address of the company/individual you will be working for? *
Your answer
How many hours a week will you be working for this company? *
Your answer
What are the duties and responsibilities of this position? You should ask your supervisor to give you this information. Your supervisor can email this information directly to: terry.lutz@kctcs.edu, if you wish. *