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Request a business

1) Full Name

*

➡️ So we know who’s making the request.

2) Student Email

*

➡️ For updates or follow-up if needed.

3) Do you want to be contacted when a company you request is posted?

*

If you answer no, we will not contact you.

3) Do you want to be contacted when a company you request is posted?

A

Yes

B

No

4) University Name

*

➡️ Helps us understand your location and community.

5) Business or Company Name You're Requesting

*

➡️ Example: “Target”, “Local Tech Startup”, “Starbucks on Main St.”

6) Location of This Business (City + State or Zip Code)

*

➡️ Helps us contact the right branch/location if it's a chain.

7) Why do you want AcrossCampus to reach out to this company?

*

➡️ This helps us make a strong case when we pitch you.

8) What type of opportunity are you hoping for?

*

Checkboxes (select all that apply):

8) What type of opportunity are you hoping for?

Internship

Part-time job

Full-time job

Volunteer experience

Shadowing

Startup or entrepreneurship collaboration

Other: ___

9) Preferred Work Format

*

Multiple choice:

9) Preferred Work Format

A

In-person

B

Remote

C

Hybrid

D

Any

10) What makes you interested in this company/business?

➡️ Optional, but helpful to understand your passion or fit.