Friday, February 24, 2012, Noon - 2:00 p.m. Knight Club - Powell Campus Center

Event Overview

Thank you for your interest in this event. Please take a minute to fill out the following registration form.

Registration fee structure:
$50.00 for one or two representatives
$75.00 for three representatives
$100.00 for four representatives

Resume Collection Option:
$15.00

Are you a nonprofit organization?
Request fee waiver information for non-profit organizations

Name of your organization:

*Contact person First Name:

*Contact person Last Name:

Title:

Mailing Address:

Street:

*City:

State:
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY None

*Zip:

Phone:

Fax:

*Email:

Website:

*For those requesting a resume collection, click here to complete form

How many representatives will be attending?
One Two Three Four

1. Name & Title:
Alfred Alumnus Yes No

2. Name & Title:
Alfred Alumnus Yes No

3. Name & Title:
Alfred Alumnus Yes No

4. Name & Title:
Alfred Alumnus Yes No

Do you need directions to Alfred University?
Yes No

Do you need hotel information?
Yes No

Will you be staying to conduct interviews following the internship fair? If you select yes, please specify in the comments section at the end of this registration the timeframe that you would like to request for your interviews.
Yes No

----------- Select ----------- Immediately following the fair The next day To be determined Registration includes an 8' table, a table covering, two chairs and minimal signage.

Please specify any special set up needs (e.g., electricity):

Please specify the majors you are particularly interested in (e.g., psychology, sociology, political science, education, chemistry, etc.):

Intern hiring needs: (Select more than one choice by holding down the control key).
Paid Unpaid Volunteer Other

If other, please specify:

Briefly describe the internship(s)/position(s) that your organization can offer:

What time(s) during the year will this experience be available? Select more than one choice by holding down the control key.
Spring Summer Fall Winter

Please provide a brief description of your organization to be published in our directory of participating organizations:

Comments: