Career Services - HPCE Registration Form

"Certainly one of the most well-planned and professionally executed career fairs I have attended. Everyone was most helpful."

Health Professions recruiter

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Graduate School Contact Information

Facility/Agency

Street Address

City

State

Zip

Phone
(xxx)xxx-xxxx

Fax
(xxx)xxx-xxxx

Your Web site
(will be linked on Health Professions Career Expo Web site)

Confirmation package will be mailed to primary recruiter

Primary Recruiter

Title

E-mail

Additional Recruiter

Title

E-mail

Specific current or anticipated future openings for which your company will be recruiting at Health Professions Career Expo are:

**Although you may not have specific openings at this time, please indicate the type of majors your company/graduate school typically recruits:

**Information will be publicized the day of the event

Major(s) recruiting:

ALL students
Advanced Practice Nurses
Occupational Therapy (BS/MS)
Occupational Therapy Assisting
Social Work - BSW
Social Work - MSW

Radiologic Technology
Respiratory Therapy
Health Services
Health Services Administration
Nursing
Food and Nutrition

You will be recruiting (check as many as apply):

Students performing clinical assignments
Interns
Volunteers

Part-time employees
Full-time employees

Payment
Registration includes one table space and lunch for two representatives

$5 White Table cover for six-foot table.

$80 Early registration rate if postmarked by/on Friday, September 26, 2008.

$100 Regular registration rate if postmarked after Friday, September 26, 2008.

Total number of representatives

Please provide a list of additional recruiter(s) and their titles
by email to: rakoressel@usi.edu.
$10 for each additional representative over two.

Note: Registration must be received by Monday, October 13, 2008 to be included in student handouts.

Optional Advertising - Please send your ad designs in MSWord format or a jpeg to: rakoressel@usi.edu.
Ad deadline: Monday, October 6, 2008

$35 - 1 X 4

$60 - 2 X 4

$80 - 2 X 6

None

Total payment due

Electricity access will also be based on first request basis. (Bring your own extension cord.)

Yes, we request access to electricity.

I will be paying by check.

I will be paying by credit card (contact Denise Bulger @ (812) 465-1217)