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: