ADMINISTRATIVE SITE VISITS REGISTRATION FORM FOR 2010
 
(Not a student form-This information goes to Charlie in order for him to set-up the visit-please fill out fully)

This form is for SLAC university consortium members only.
If you have secured a Employer Site Visit, please complete the form below.  Once I have this information, I will place it on the website and students from all of our institutions will be able to sign up.  

Site Visits Registration Form -
College/University Information:
1.   YOUR NAME  
2.   YOUR TITLE  
3.   YOUR COLLEGE/UNIVERSITY  
4.   YOUR PHONE   
5.   YOUR WEBSITE  
6.   YOUR E-MAIL  
Employer Information:  
7.   CONTACT NAME  
8.   EMPLOYER NAME  
9.   PHONE NUMBER  
10.  EMAIL  
11.  EMPLOYER WEBSITE  
12.  DATE OF VISIT  
13  TIME OF VISIT  
14.  LOCATION OF VISIT  
15.  MAXIMUM # OF STUDENTS  
16.  MINIMUM # OF STUDENTS  
17.  DIRECTIONS  
18.  SITE DESCRIPTION AND SCHEDULE                       
19.  COMMENTS

Thank You!!