Business Name:

Address:

City, State: Zip:

Phone Number: Fax Number:

Email Address:

We plan on attending the Career Fair. Yes No

We will have representative(s) attending. The Name(s) and Title(s) of the represenative(s) are:

Please check the appropriate statements:

Will you need wireless access? Yes No

Will you need an electric outlet? Yes No

Will you need an extra table? Yes No

Will you be taking applications/resumes for the following positions:

Full-time Part-time Seasonal Temporary

We will not be able to attend but will be sending information and applications for our company.

We will not be attending.