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Applied Learning Survey

Required fields are marked by an asterisk (*)

This is needed information.

A valid Name is required. ex. example

Ex. [email protected]

A valid Email Address is required.

Please enter in a Major.

Internship information

A valid Organization is required.

A valid Contact Person is required. ex. example

A valid Contact Person's Title is required.

Please type in a Street Address.

Please type in a City.

Please select a state for your address.

Ex. 14802 or 14802-XXXX

A valid Zip Code is required. ex. 14802 or 14802-XXXX

Ex. 123-123-1234

A valid Phone Number is required in XXX-XXX-XXXX format.

Ex. [email protected]

A valid Email Address is required.

Please type in a City.

Was the internship, summer job, etc. paid?*

Was the internship, summer job, etc. paid is required. Please make a selection.

To select multiple items, hold down the Ctrl Key (On Windows) or Command Key (On Mac)

Would you recommend this experience to another student?*

Would you recommend this experience to another student is required. Please make a selection.

Please forward questions to:
Career Development Center
Alfred University
1 Saxon Drive
Alfred NY 14802