University of Southern Indiana

Orientation Information Fair Registration Form

Organization/Department Name:

Person Responsible:

First Name

Last Name

Street Address:

City/State/Zip:

City

State

Zip Code

Email Address:

Phone Number:

Ex. 8124615420

Please check one of the following:

Staffed Table - If organization/department is selecting a staffed table, please complete the rest of this form and click submit.

General Table - If your organization/department is selecting a general table, you do not need to complete the rest of this form. Scroll to the end of the page and click submit.

Special Display Needs (Please Check All That Apply):

TV/VCR

Easel

Electrical Outlet Access

Other Materials Needed:

* Please note, equipment and outlet access will be on a first come, first served basis, depending on availability.

Please include a detailed description of the resources and materials that you will have at your table.

Student Development will provide one table and one chair for your display and distribution materials. If your organization needs additional space please indicate on the form.