Career Registration Form

Location:   Campus Quad
Date:         Thursday, April 22, 2010
Time:          9:30AM - 1:00PM

Please submit this application by Friday, April 9th

Registration Fee: $85.00 for 1-2 people, $10 for each additional person
$40 additional charge for individual 10ft x 10ft pop-up tent

Name (First, Last): *
Employer: *
Phone: *
Email Address: *
Employer Address, City, State, Zip:
Would you like to donate a door prize? (if Yes, please specify)
Hiring Needs:	Full Time: Part Time: Summer: Internship:
Request Veggie Lunch:	Yes:
When you are ready to send, please click Submit. To clear all the fields, click Reset Form.