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!!