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Career Day Employer Registration Form
Payment by Check/Request Billing
* Denotes Mandatory Fields |
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| *Please indicate your interest in additional events |
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YES! We would like space provided for interviews to be held the day after Career Day, March 4, 2009. |
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YES! We will be attending the Alumni and Friends open house from 3:00-4:00 p.m. following Career Day. |
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We have no interest in the additional events at this time. |
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| Company Information |
| *Name of Organization |
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| *Address 1 |
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| Address 2 |
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| *City |
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| *State |
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| *Zip |
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| *Phone |
ex. (555) 555-5555 |
| Fax |
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| Organization's Web Page Address |
(This information is used in promoting the event.) |
| Salutation |
*Contact Name |
| Title |
Northwest Alumnus? |
| *E-mail |
(Confirmation will be sent via E-mail) |
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Attending Representatives
Please give name and email address for each representative. |
| *Total # Attending |
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| *Rep. #1 |
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Northwest Alumnus? |
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| *E-mail: |
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| Rep. #2 |
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Northwest Alumnus? |
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| E-mail: |
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| Rep. #3 |
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Northwest Alumnus? |
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| E-mail: |
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| Rep. #4 |
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Northwest Alumnus? |
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| E-mail: |
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Recruiting Information:
Please indicate the desired level(s) of education and major(s) your organization seeks in potential candidates. We encourage you to send complete listings of career or internship opportunities to us at career@nwmissouri.edu or the address below. This information is used in marketing the upcoming event. A complete list of Northwest majors, minors, and programs is available online  .
Please Use Ctrl key to make multiple choices |
Type of Employment*
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Desired level(s) of education*
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| Undergraduate Majors (Choose All That Apply) |
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| Graduate Programs (Choose All that Apply) |
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| Arrangements |
Will you need an electrical outlet?*
Yes No
Outlets are in limited supply and are only available on a first-come, first-served basis. |
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Handicapped parking at Lamkin Activity Center is limited. Please contact our office today for the best arrangements. (660) 562-1250 |
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| Billing Information |
| Your registration fees include a 6 foot table, 2 chairs and lunch for one representative. Each additional representative is $10. If you need a larger table please contact our office. |
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| Early-Bird Registration**- must be paid by Feb. 10th |
$50 |
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| Registration received after Feb. 10th |
$75 |
| Each additional representative |
$10 |
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Total Due |
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| No Refunds for cancellations or no-shows after February 17th. |
| **Early Bird registration by February 10th allows us to include your organization in publicity about the event. |
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| Billing Information |
| First Name * |
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| Last Name * |
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| Address 1 * |
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| Address 2 |
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| City * |
State* |
| Zip * |
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| Once your form is submitted, you will be registered to attend Career Day, and a bill will be sent to you. Thank you! |
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