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Ted Graduation Date: Sophomore Junior Senior Major(s): Local Address/Telephone: Permanent Address/Telephone: Local Street Address Permanent Street Address Local Address: City, State Zip Code Local Phone # Permanent Address: City, State Zip Code Permanent Phone # Please describe your skills and experience (i.e., research experiences, office work, computer skills, etc.): Please list past employment experiences (employer, dates employed, duties, telephone number): Please list three (3).

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