Wednesday - February 2, 2011
Loso Hall Foyer
3:00 - 6:00 p.m.

Eastern Oregon University
Registration form
Company Name
Representatives Attending:
First Name
Last Name
Title
Address
City
State Zip
Telephone
Email
Company Webpage
Contact Person
Contact Phone
Attendee 2 Name
Attendee 2 Title
Attendee 2 Phone
Attendee 3 Name
Attendee 3 Title
Attendee 3 Phone
Attendee 4 Name
Attendee 4 Title
Attendee 4 Phone
Opportunities with your company (click on all that apply)
Full-time job opportunities
Internships
Part-time/Temporary/Seasonal
Information Only



Set-up Needs (click on all that apply)
Table Display
Floor Display
Electrical Outlet
(must supply your own extension cord)


Other Requests
Company Biography
Affirmative Action acknowledgement
(please initial)

This is to acknowledge that you have read EOU's policy regarding Equal Opportunity and Discrimination in hiring.

Cost: $25.00 per booth/display
Please make checks payable to: Eastern Oregon University.
Mail to: Patti Girrard, Academic & Career Advising,
Eastern Oregon University, One University Blvd., La Grande, OR 97850