Employment Placement

First Name:

Last Name:

UA-PTC Student ID:

UA-PTC Student E-mail:

Phone:

Year in School:

Program of Study:

Concentration:

Program or Academic Advisor:

Please list your Top 3 Industry preferences:

Example: finance, cybersecurity, digital marketing, etc.

Number of hours available to work per week:

Do you have reliable transportation?

What Languages are you proficient in?

Are there any restrictions on your ability to be employed? If so, what?

Is there anything else we need to know prior to placing you in a job?