Lane College

2011 Graduate and Professional School Day Job Fair

REGISTRATION FORM

To RESERVE YOUR SPACE, immediately e-mail or fax this registration form. Please type or print, using ink. Upon receipt

of your form and check (before SEPTEMBER 7, 2011), your booth, interview space and VIP stage will then be confirmed.

All Majors Engineering

Biology English

Business History

Chemistry Mathematics

Mass Communication Music

Criminal Justice Physical Education

Computer Science Physics

Interdisciplinary Studies (Education) Sociology

How many representatives from your organization will attend? Interview space needed? Yes No

University/ Organization Name:

______

Primary Recruiter’s Name:

______

Recruiter’s Phone:
______

Primary Recruiter’s Address:

______

Will you need an electrical outlet near your table?

Yes No

To reserve your space, please mail $100.00 check

(payable to Lane College) by September 7, 2011.

Tax exempt # and invoices are available upon request. Send to: