MAPCE Registration - Candidates

:: MAPC 2009 Candidate Registration ::

Candidate Information
First Name: **
Last Name: **
Preferred Name for Name tag:
Address 1: **
Address 2:
City: **		State Zip
Day Phone: **
Evening Phone:
E-mail Address: **
If you have any special needs, please specify: [Max characters = 300]

Current Institution:
Institution not listed:
Current Position or Title:
Educational Background
Degree(s) completed (Please check all that apply )
Bachelor's Degree \| Major: Graduation Date:
Masters Degree \| Major: Graduation Date:
Other Degree \| Major: Graduation Date:
Additional information
Type of position desired: ** Bachelors Level Full-time Masters Full-time Graduate
I plan to eat lunch (please check all that apply): Lunch on Thurs Lunch on Fri
Some employers will attempt to pre-schedule interviews. To facilitate this process, employers will be provided candidate information prior to the conference. Would you like your information to be shared with employers prior to the conference? Yes No **
Payment Worksheet
I am paying:
Online by credit card (you will pay on the next page)
Cash (on site only)
mailing a check
Make check or money order payable to MACUHO and mail to: Sarah M. Yencha, Candidate Registration Chair 1129 Linden Ave Scranton, PA 18510 570-941-6375 sarah.yencha@scranton.edu

** Required Fields

** Important: Please email your resume in PDF or WORD format to sarah.yencha@scranton.edu . On site registrants should bring 6 copies of their resume on white paper to the conference