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Summer Job Fair Registration

Event Date: Wednesday, February 19, 2014

Registration Fee: $75 (paid online with credit card or by mailed check)

* indicates a required field

Facility Information

* Facility Name:
* Street Address:
* City:
* State:
* Zip Code:
* Phone Number:
Fax Number:
* Email Address:
Website:

Representatives to Attend

These names will be used for event name tags
* Representative #1 Full Name:
* Representative #1 Title:
 
Representative #2 Full Name:
Representative #2 Title:

Recruitment Information

Recruiting For: Interns
Seasonal
Other: