Career Fair Registration Form

The cost of the Career Fair is $200. The fee covers the cost for two representatives, two parking passes, and one six foot table. A $25 fee will be charged for each additional representative attending the fair. A $15 fee will be added if a second table is needed. (Second table does not provide you two spaces.)

ALL FEES MUST BE PAID BY OCTOBER 1st.

$50 of the registration fee is non-refundable for companies that register prior to the September 10th deadline date and then cancel on or after September 10th. The entire registration fee is non-refundable for companies that register after the deadline date and then cancel.

(All required fields are in red)

Todays Date

Company Name

Contact Person

Title

Address

City

State   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming   Other:

Zip Code

Telephone Number (4142223333)   --

Fax Number(4142223333)   --

E-mail Address

Company Web Site

Please provide dimensions of your display:

(X) Height and Width

Number of Representatives Attending Career Fair.  (Registration fee covers 2 representatives and 2 parking passes.  A $25 fee will be charged for each additional representative)     One Representative ($200)     Two Representatives ($200)     Three Representatives ($225)     Four Representatives ($250)     Five Representatives ($275)     Six Representatives ($300)     Seven Representatives ($325)     Eight Representatives ($350)     Nine Representatives ($375)     Ten Representatives ($400)

Please check all the items you will need   Electrical Power Outlet (Please bring power cord/power strip)     2nd 6 foot Display Table ($15 fee)

Please be sure to check your registration form to be sure that you have calculated the fees correctly. Fee for number of representatives plus the fee for additional table, if needed. (figures are in blue font). Input the total fee amount here.

Number of Parking Permits Needed (Please consider carpooling. We have limited parking available. This will also conserve gas and enable us to accommodate all companies attending.)   One Two Three Four Five

Do you need assistance with setup?     Yes     No

Candidate Interest (check all that apply)     Alumni     Graduating Seniors     Interns

Interests: Business Majors     Business     Business with Engineering Studies     International Business     Management (BS and MS)     Management Information Systems     Technical Communication

Architectural Engineering and Building Constuction     Architectural Engineering     Architectural Engineering/Construction Management     Construction Management     Environmental Engineering     Structural Engineering

Engineering     Biomedical Engineering     Biomolecular Engineering     Computer Engineering     Electrical Engineering     Electrical Engineering Technology     Engineering (BS and MS)     Engineering Management (MS)     Industrial Engineering     Mechanical Engineering     Mechanical Engineering Technology     Software Engineering

Health Sciences     Cardiovascular Studies (MS)     Medical Informatics (MS)     Nursing     Perfusion (MS)

Company Profile

(Please provide us information about your company that you would like students to know.  This information will be printed in our Career Fair Program .)

Representatives Staffing Booth

Representative Name 1

Title

MSOE Grad   Yes     No

Year of Graduation

Representative Name

Title

MSOE Grad   Yes     No

Year of Graduation

Representative Name

Title

MSOE Grad   Yes     No

Year of Graduation

Other Representatives

Please select the payment you wish to choose.     Mail payment in     Visa Mastercard or Discover

Please Note: If selecting the "Visa, Master Card, or Discover" payment option, click on "Pay Career Fair registration fee online by credit card" after you submit this form. If you have chosen to pay by check, see below and just close the on-line payment page that follows. ALL FEES MUST BE PAID BY OCTOBER 1ST. Thank you for your registration.

Mail payment to: MSOE Placement Office             1025 N. Broadway, Suite #370                Milwaukee, WI 53202