| Primary Contact: |
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| Extension: |
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| Primary E-mail: |
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| Department: |
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| Completion Date: |
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| Alternative Contact: |
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| Alternative Extension: |
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| List the number of student workers requested: |
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| Estimated number of hours: |
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Briefly describe the tasks of each position:
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List any special skills needed (Word, Excel, etc):
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List any special requirements (manual labor, etc):
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Any additional comments?
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