Please complete all information requested on the form below.  It is especially important that you include a short paragraph (about 40 to 60 words) describing your organization and its products or services.  Also, note the major(s) and degrees you are seeking as as internship opportunities.  This information will be published in our Career Expo Directory that is distributed to attendees on the day of the Expo.  Portions will also be used on this web site.

Organization*:               
Address*:               
City*:                  State*:                  Zip Code*:               
Company Web Site: Contact Name*:               
E-mail*:                Phone*:                Fax:

Please write company description here*:
 

Types of positions you will be recruiting and status (full-time, part-time, temporary, cooperative education, or internships)*:
 

Registration fees (includes two lunches):  Please check appropriate boxes

Rates:

Single Booth
$315 - For profit rate
$265 - Non-profit rate

Double Booth
$630 - For profit rate
$530 - Non-profit rate

* Single Booths are 10x10 with a 8 foot table. Double booths are 2 10x10 areas with 2 8 foot tables.

Due to the expo traffic factors, a maximum of 3 booth representatives are allowed per booth (6 for double booths).

Additional services:
$65 for electrical hook-up if paid in advance; $80 day of the Expo
$150 for phone line hook-up if paid in advance; $165 the day of the Expo
$200 for Internet hook-up (high speed DSL) if paid in advance; however, we must have FOUR employers sign up to be able to offer this service
$18 each for additional lunches; Number of additional lunches needed =               

Total amount* = $.00

Payment Method*:

Check made payable to CISHRM. Mail to: 8345 University Blvd., Ste. F1,
Des Moines, IA 50325

VISA - Account number:   Exp Date:

MasterCard - Account number:   Exp Date:

Please print the completed form and fax to Alda Helvey, CISHRM Administrator, at 515-225-6363.  If you have any questions, please contact Alda at CISHRM@assoc-serv.com or 515-223-2328.  You may also mail the completed form to CISHRM, 8345 University Blvd., Ste. F-1, Des Moines, IA 50325 or email the form to CISHRM@assoc-serv.com.