Job Placement

Job Fair Registration Form

Registration Ends on Wednesday, April 10, 2013

Name of Organization/Company:
Address:
City:
State:
Zip:
Name & Title of Contact Person:
Phone:
Fax:
Email:
Is your company interested in being represented at the job fair?	Yes No
Please indicate how many positions you would anticipate on having available
Nature of Business (Please specify): (Health, Accounting, Social Services, Merchandising, Office Services, etc.)
Names of Representatives attending (Please limit to 2 people):	First Person: Second Person:
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