Form

LSSC Health Professions Hiring Event Employer Registration Form Spring 2013

Hello! Thank you for your interest in recruiting employment candidates at our LSSC Health Professions Hiring Events. Please fill out this registration form in its entirety. Space is limited, therefore submittal of a registration form does not guarantee attendance.Your registration request will be reviewed and once approved, you will receive an email confirmation from a Career Development Services staff member. This event is open to companies currently recruiting job candidates. All companies/organizations will need to comply with our on-campus recruiting guidelines as posted on our website at: www.lssc.edu/academics/cds. DEADLINE TO REGISTER IS MARCH 13, 2013. Thank you!
Company Name*
Company Website*

Company Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please indicate the industry that your company/organization is most closely related to

Agriculture Automotive Banking/Finance Business Communications Computing Construction Education Engineering Entertainment Government Health/Medical Hospitality Legal Military Natural/Physical Science Non-Profit Retail Sales/Marketing Social Work/Psychology Other
Primary Contact*
Prefix First Name Last Name
Primary Contact's Title*
Primary Contact's Email*
Primary Contact's Tel*
- Area Code Phone Number
Select Health Professions Hiring Event you will be attending*

Leesburg Campus event only (3/19/13, 11am-1pm) South Lake Campus event only (3/21/13, 11am-1pm) Both Events
# of Representatives attending this event*
Representative #1
Prefix First Name Last Name
Email
Representative #2
Prefix First Name Last Name
E-mail
Representative #3
Prefix First Name Last Name
E-mail
Type of Positions You are Looking to Fill (check all that apply)*

Full-time Part-time Internship/Co-op (please read info on Co-op/Internship offerings: http://www.lssc.edu/academics/cds/Pages/Co-ops-and-Internships.aspx) Seasonal
Please indicate the Job Title (s) you are recruiting for
Job Target*

Administration Customer Service Government Health Care Management Military Nonprofit Management Office/Admin. Support Research Science Sports and Fitness Other
How did you hear about this event?

Career Dev. Services Email Career Dev. Services Website Central Florida Employment Council Chamber of Commerce (Leesburg) Chamber of Commerce (South Lake) Chamber of Commerce (Sumter) College Central Network Announcement Lake-Sumter State College Website Lake Sumter Society of Human Resources Management Newspaper Article LSSC Foundation Email LSSC Newsletter LSSC Faculty/Staff Referral Other
Additional Comments:
Should be Empty:

LSSC Health Professions Hiring Event Employer Registration Form Spring 2013