INTRA Questionnaire

Student Name: ___________________________________________________

INTRA Employer: ___________________________________________________

Company Activities: ___________________________________________________

Company Size: __________________________ (approximate no. of employees)

Address: ___________________________________________________

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Start Date: __________ Finish Date: __________

Position in Company:___________________________________________________

Brief Description of Work:________________________________________________

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Salary Range (optional): __________________________ (per week/per month)

Overtime (if applicable): __________________________

Working Conditions: ___________________________________________________

(e.g. hours, shift work)___________________________________________________

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Holiday Arrangements:__________________________________________________

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Skills Required: ___________________________________________________

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Any Additional Information: _____________________________________________

(e.g. visa requirements, ________________________________________________

assistance provided with _______________________________________________

finding accomodation etc.) ______________________________________________

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