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Job Placement Survey

Please fill out this quick survey regarding your current job placement information and let us know if you need any assistance.

THIS SITE IS A PROTOTYPE. USE TEST DATA. PLEASE DO NOT ENTER PERSONAL DATA.


1. Are you employed full-time or part-time?

Full-time
Part-time
Unemployed

2. If you are employed, who and where is it?

3. Do you require any assistance in Job Placement?


4. Please fill out your most current contact info:

About this form

This form was created by Tisha Murvihill, a graduate of InnoTech College in Calgary, Alberta, Canada. It is written in HTML5, CSS, JavaScript, and PHP. The submit button sends an e-mail to the client with the details of each survey submission. Tisha can be reached at tech@take2tech.ca.