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NAME |
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Email |
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| Local Address |
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Permanent Address |
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Reference List |
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| (You will need at least three references who can attest to your academic and professional ability to get the job done. Include professors and advisors. You may want to include advisors and coordinators from campus organizations such as Greek Life. You may also want to include at least one employer. DO NOT INCLUDE FRIENDS AND FAMILY.)
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Name |
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(Title)
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Name of Organization |
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Address |
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Telephone |
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