February 6th, 2009, Washington DC

 Indicates required field

Organization Name:
Contact Person(s) & Title(s):
Title:
Address:
City:
State:
Zip Code:
Tel:
Fax:
E-mail:
Web page:
Is your organization not-for-profit?	Yes No

POSITION TITLE(S)


JOB DESCRIPTION(S)


BRIEF DESCRIPTION OF YOUR ORGANIZATION



1 interview schedule 2 interview schedules ($100 extra)

APPLICANT INFORMATION REQUESTED

(Please check all that apply):

Affirmative Action/Equal Opportunity Employer Statement/College Recruitment Policies

(Company)  hereby affirms it is an equal opportunity employer, offering employment without regard to race, color, religion, sex, national origin, age, sexual orientation, and disability.

$500 registration fee ($250 for nonprofits).
Fee includes application materials from seniors at 8 colleges, continental breakfast and lunch.  

To complete registration either submit form below or complete,
print and send to :

Deborah Wijnhoven
Employer Relations Director
Career Development Office
Smith College
84 Elm St
Northampton, MA 01063
p: 413-585-2582 // f: 413-585-2596 E-mail: dwijnhov@smith.edu
To Fax this form click here to print PDF version.

Payment information

• You may pay using a VISA, Master Card or Amex- call 413-585-2582
• If you are paying by check please make check payable to Smith College and send your check to:

Deborah Wijnhoven
Smith College
Career Development Office
84 Elm Street
Northampton, MA 01063