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Student Information:

- First Name: *
- Last Name: *
- E-mail: *
- W-number: *
- Major: * This field is required.
- Classification: * This field is required.
- Location Preference: *
- Internships or Co-ops you are interested in: *
  (You can list types of internships / co-ops and/or specific companies you are looking for)

Captcha:

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