REGISTRATION FORM
Ohio Northern University
Winter 2014 Career and Graduate/Professional School Fair
Wednesday, February 26, 2014
To register, complete the form and:
Fax to: Jane Ward, 419-772-2007
OR
Registration
and check can
be mailed to:
Jane Ward
Polar Careers
Ohio Northern University
525 South Main Street
Ada, Ohio 45810
Questions: Call Jane Ward, 419-772-3050
THE FOLLOWING INFORMATION WILL BE PROVIDED TO STUDENTS IN ADVANCE OF THE EVENT.
(Please type or print)
Organization Name___________________________________________________________________________________
Web Address____________________________________
Phone__________________________________
Mailing Address______________________________________________________________________________________
Street/Box
City
State
Zip
Brief description of your ___ hiring organization or ___graduate/professional school: ________________________________
_________________________________________________________________________________________________
Please indicate the majors you are interested in meeting (see areas of study at www.onu.edu)
_________________________________________________________________________________________________
If applicable, position(s)/ title(s) being recruited____________________________________________________________
Candidate specifications required, if any _________________________________________________________________
How many recruiters will be representing your organization? _____
Recruiter(s) Attending – Please indicate if recruiter is an Alumnus of Ohio Northern University
_______________________________ __________________________
Name
Title
_______________________________ __________________________
Name
Title
_______________________________ __________________________
Name
Title
_______________________________ __________________________
Name
Title
_______________________________ __________________________
Name
Title
_________________________
E-mail address
_________________________
E-mail address
_________________________
E-mail address
_________________________
E-mail address
_________________________
E-mail address
Alumnus______
Alumnus______
Alumnus______
Alumnus______
Alumnus______
FEE:
$100 includes up to four (4) recruiters and one covered eight-foot table, two chairs, lunch and a.m./p.m. snacks $_______
$25 for each additional recruiter after four (includes lunch/snacks) Additional recruiters______
$_______
# of additional covered 8-foot tables with two (2) chairs needed (no additional charge) ________
TOTAL DUE $_______
Payment Info:
_____Check payable to ONU Winter Career/Grad School Fair (Attn. Polar Careers) enclosed OR
_____Credit Card: (please circle) MasterCard, VISA, DiscoverCard, AmericanExpress®
Credit Card Account # _____________________________ 3-Digit Security Code_______ Expiration Date___________
Cardholder’s Name________________________________ Total Amount Charged $_____________________________
Daytime Cardholder Phone__________________________ Cardholder’s Signature______________________________
Contact Information for Person Submitting Registration: Name:___________________________________________
Title: _________________________ Phone #:__________________________
Email: _________________________