MERC Education Career Fair
Curry Student Center Northeastern University -- Boston, MA
Friday April 23, 2010 9:30am - 3:30pm

SCHOOL SYSTEM/EMPLOYER REGISTRATION

Personal Information/Contact Information
School/Organization 
Salutation
Contact First Name 
Contact Last Name 
Title 
Telephone 
 ( )  -    ext
Fax 
 ( )  -
Email 
Address  
City 
State 
Zip Code 
District/School Information
Website 
School Type 
 Public   Private Charter    Other:
School Area  
 Rural Suburban  Urban
Testing Requirements
 NTE Praxis State Test   Other:
District/School Description (optional) 
Attendee/Payment Information

Fee Structure:
Booth Rental: $300.00 per booth (includes the registration fee for two recruiters per booth, 8' draped table, signage, 2 chairs, continental breakfast and luncheon for two recruiters).

Payment Type:
Tax ID 22-2873746
Credit Card (VISA or Mastercard accepted)
Check
Purchase Order | Number:
Number of Booths
(each booth includes the registration fee for two recruiters)
School Representative (1)
Same as contact person
First Name (1) 
Last Name (1) 
Title (1) 
Email (1) 
School Representative (2)
To be announced or unknown
First Name (2) 
Last Name (2) 
Title (2) 
Email (2) 
School Representative (3)
To be announced or unknown
First Name (3) 
Last Name (3) 
Title (3) 
Email (3) 
School Representative (4)
To be announced or unknown
First Name (4) 
Last Name (4) 
Title (4) 
Email (4) 
School Representative (5)
To be announced or unknown
First Name (5) 
Last Name (5) 
Title (5) 
Email (5) 
School Representative (6)
To be announced or unknown
First Name (6) 
Last Name (6) 
Title (6) 
Email (6) 
School Anticipated Needs
   Check All - Deselect All
Early Childhood
Elementary
Middle
Secondary
Subject Areas
  Biology
  Business
  Chemistry
  Dance
  Early Childhood
  Earth Science
  Elementary
  English
  English (Second Lang)
  Foreign Language
  General Science
  Health/Family Science
  History
  Latin/Classical Humanities
  Library
  Mathematics
  Middle School (Humanities)
  Music
  Physical Education
  Physics
  Political Science
  Speech
  Moderate Disabilities
  Severe Disabilities
  Deaf and Hard-of-Hearing
  Visually Impaired
  Technology/Engineering
  Theatre
  Visual Art
  Instructional Technology
  Middle School (Mathematics/Science)
Specialists
  Academically Advanced
  Reading
  Transitional Bilingual Ed
  Speech, Language & Hearing Disorders
Support Professionals
  School Guidance Counselor
  School Nurse
  School Psychologist
  School Social Worker/Adjustment Counselor
  Specialist in Speech, Language and Hearing Disorders
  Athletic Training
  Occupational Therapy
  Physical Therapy
Other