Co-op Registration at Wallace State College

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256 352-8133

Employer Registration Form
Wallace State College - Hanceville, Alabama
Health Care Job Fair Day - March 6, 2007
Business & Industry Job Fair Day - March 7, 2007

For Employer and College Representatives

Company:		Phone No:
Address:		FAX No:
City:	State:	Zip:
E-mail Address:
Representative(s) attending event:

Early registration fee is $50.00.
Registration fee of $60.00 on the day of the Job Fair.

Make checks payable to WSC Job Fair.

1. Check one of the following:
	Registration fee will be mailed with copy of registration form Will pay the registration fee on the day of the event Unable to attend this year, but keep us on your mailing list
2. Check any that apply regarding pre-arrangement request:
		Plan to participate in the Health Care Job Fair Day.
		Plan to participate in the Business & Industry Job Fair Day.
		Need access to an electrical outlet.
		Have large display unit? Please specify space needed for unit. (ft X ft)
		Plan to interview for qualifying applicants? If so, please list an interviewing schedule that you prefer.
		Other special request(s). List other special request(s).

Send completed form or Fax form to 256-352-8188 then mail check and a copy of the form to the address below:

Mail to:

Wallace State Community College
Cashier's Office
P.O. Box 2000
Hanceville, AL 35077-2000

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