Fort Hays State University
Career Services
2013 Employer Spring Career-Internship Fair Registration Form
Wednesday, February 20, 2013 10:00 a.m. - 2:00 p.m.
Gross Memorial Coliseum
Name of Organization:
Address:
City: State: Zip:
Telephone Number: Fax Number:
Web Page Address:
E-mail:
Confirm E-mail:
Contact Person:
Title:
Name(s)/Title(s) of Expected Representatives:
Number of representatives attending the luncheon:
Will you need an electrical outlet? (limited supply; first-come, first-served)
Please check all academic disciplines in which your organization is interested:

Please check if you have internships or summer employment positions.
Please list all Majors that apply:

Payment Method - Registration Fee: $100.00 per organization, payable in advance (NO REFUNDS after February 15, 2013)
(Payable to Career Services, FHSU, 600 Park Street, Hays, KS 67601)
Amount Authorized:
Card Type:
Card Number:
Name of CardHolder:
Expiration date:
CSC: