EmployerRegistration < KirstenGorton

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<!--
<strong><p align="center">UIC Engineering Career Fair<br>
  Employer Registration Form<br>
  <br>
  Tuesday, February 18, 2014<br>
  12:00pm - 4:00pm<br />
Illinois Room </p></strong>
                <p>The  UIC College of Engineering has over 3400 students enrolled in over 10 different engineering and computer science disciplines.  These undergraduate and graduate programs include 6 academic departments: Bioengineering, Chemical Engineering, Civil and Materials Engineering, Computer Science, Electrical and Computer Engineering, and Mechanical and Industrial Engineering.</p>
                <p>The  UIC Engineering Career Fair is an effective resource to match potential employers with engineering students, not only for internships and co-op positions, but also for full-time careers.<br>
                </p>
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<form name="survey" method="POST" action="http://www.uic.edu/htbin/formmail/FormMail/~jmuench/career_fair.sgml" onsubmit="return validateForm();">
                  <p align="left">&nbsp; </p>
                  <p align="left"><table width="600">
  <tr>
    <table width="600">
  <tr>
    <td width="187">Organization/Company:</td>
    <td width="407"><input name="1" type="text" id="1" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
  </tr>
</table>
                      <br>
                  </p>
                  <p align="left"><table width="600">
  <tr>
    <td width="187">Address:</td>
    <td width="401"><input name="2" type="text" id="2" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"><br>
    <table width="600">
  <tr>
    <td width="187"> City:</td>
    <td width="402"><input name="3" type="text" id="3" size="30" maxlength="150">&nbsp;</td>
  </tr>
</table>
<table width="600">
  <tr>
    <td width="187">State:</td>
    <td width="401"><select name="4" id="4">
      <option value=" " selected="selected"> </option>
      <option value="AK">AK</option>
      <option value="AL">AL</option>
      <option value="AR">AR</option>
      <option value="AZ">AZ</option>
      <option value="CA">CA</option>
      <option value="CO">CO</option>
      <option value="CT">CT</option>
      <option value="DE">DE</option>
      <option value="DC">DC</option>
      <option value="FL">FL</option>
      <option value="GA">GA</option>
      <option value="HI">HI</option>
      <option value="IA">IA</option>
      <option value="ID">ID</option>
      <option value="IL">IL</option>
      <option value="IN">IN</option>
      <option value="KS">KS</option>
      <option value="KY">KY</option>
      <option value="LA">LA</option>
      <option value="MA">MA</option>
      <option value="MD">MD</option>
      <option value="ME">ME</option>
      <option value="MI">MI</option>
      <option value="MN">MN</option>
      <option value="MO">MO</option>
      <option value="MS">MS</option>
      <option value="MT">MT</option>
      <option value="NC">NC</option>
      <option value="ND">ND</option>
      <option value="NE">NE</option>
      <option value="NH">NH</option>
      <option value="NJ">NJ</option>
      <option value="NM">NM</option>
      <option value="NV">NV</option>
      <option value="NY">NY</option>
      <option value="OH">OH</option>
      <option value="OK">OK</option>
      <option value="OR">OR</option>
      <option value="PA">PA</option>
      <option value="RI">RI</option>
      <option value="SC">SC</option>
      <option value="SD">SD</option>
      <option value="TN">TN</option>
      <option value="TX">TX</option>
      <option value="UT">UT</option>
      <option value="VA">VA</option>
      <option value="VT">VT</option>
      <option value="WA">WA</option>
      <option value="WI">WI</option>
      <option value="WV">WV</option>
      <option value="WY">WY</option>
    </select></td>
  </tr>
</table>
<table width="600">
  <tr>
    <td width="187">Zip:</td>
    <td width="401"><input name="5" type="text" id="5" size="10" maxlength="10" />
    &nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"><br>
    <table width="600">
  <tr>
    <td width="187">Contact Person:</td>
    <td width="401"><input name="6" type="text" id="6" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"> <br>
    <table width="600">
  <tr>
    <td width="187">Title:</td>
    <td width="401"><input name="7" type="text" id="7" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"> <br>
   <table width="600">
  <tr>
    <td width="187">Email Address:</td>
    <td width="401"><input name="8" type="text" id="8" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"> <br>
   <table width="600">
  <tr>
    <td width="102">Phone:</td>
    <td width="219" align="left" valign="bottom"><input name="9" type="text" id="9" size="30" maxlength="150">&nbsp;</td>
  </tr>
</table>
<table width="600">
  <tr>
    <td width="187">Fax:</td>
    <td width="401"><input name="10" type="text" id="10" size="30" maxlength="150" /></td>
  </tr>
</table>
                  </p>
                  <p align="left"> <br>
    <table width="600">
  <tr>
    <td width="187">Web/Internet Site Address:</td>
    <td width="401"><input name="11" type="text" id="11" size="50" maxlength="150">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"> <br>
   <table width="600">
  <tr>
    <td width="187">Number of representatives attending:</td>
    <td width="401"><input name="12" type="text" id="12" size="10" maxlength="10">&nbsp;</td>
  </tr>
</table>
                  </p>
                  <p align="left"><br>
    Names of representatives attending:<br>
    <em><strong>(Please indicate with &quot;*&quot; if UIC alumni)</strong> <br>
    <em>
    <textarea name="13" cols="60" rows="5" id="13"></textarea>
  </em></em></p>
                  <p align="left"><br>
    Display (we provide table and tablecloth) <br>
    <input name="14" type="checkbox" id="14" value="Table top">
    Table top <br>
    <input name="15" type="checkbox" id="15" value="Floor display">
    Floor display</p>
                  <p align="left"><br>
    Materials Needed:<br>
    <input name="16" type="checkbox" id="16" value="Electrical outlet">
    Electrical outlet (bring own equipment and cords)<br>
    <input name="17" type="checkbox" id="17" value="Other:">
    Other<br>
    <textarea name="18" cols="50" rows="4" id="18"></textarea>
                  </p>
                  <p align="left"><br>
Select all Majors or Areas of Interest Needed:<br>
    <table width="600" border="0">
  <tr>
    <th scope="col">&nbsp;</th>
    <th align="center" valign="middle" scope="col">Bachelors</th>
    <th align="center" valign="middle" scope="col">MS/Ph.D</th>
    <th align="center" valign="middle" scope="col">Internship</th>
    <th align="center" valign="middle" scope="col">Full-Time</th>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Bioengineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1911" id="1911" value="BioE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1912" id="1912" value="BioE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1913" id="1913" value="BioE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1914" id="1914" value="BioE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Chemical Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1921" id="1921" value="ChE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1922" id="1922" value="ChE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1923" id="1923" value="ChE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1924" id="1924" value="ChE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Civil Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1931" id="1931" value="CivE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1932" id="1932" value="CivE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1933" id="1933" value="CivE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1934" id="1934" value="CivE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Computer Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1941" id="1941" value="CE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1942" id="1942" value="CE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1943" id="1943" value="CE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1944" id="1944" value="CE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Computer Science</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1951" id="1951" value="CS - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1952" id="1952" value="CS - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1953" id="1953" value="CS - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1954" id="1954" value="CS - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Electrical Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1961" id="1961" value="EE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1962" id="1962" value="EE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1963" id="1963" value="EE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1964" id="1964" value="EE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Energy Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1971" id="1971" value="EnergyE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1972" id="1972" value="EnergyE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1973" id="1973" value="EnergyE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1974" id="1974" value="EnergyE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Industrial Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1981" id="1981" value="IE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1982" id="1982" value="IE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1983" id="1983" value="IE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1984" id="1984" value="IE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Materials Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1991" id="1991" value="MatE - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1992" id="1992" value="MatE - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1993" id="1993" value="MatE - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="1994" id="1994" value="MatE - FT"/>
    </label></td>
  </tr>
  <tr>
    <th align="left" scope="row"><strong>Mechanical Engineering</strong></th>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="19101" id="19101" value="ME - BS"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="19102" id="19102" value="ME - MS/Ph.D"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="19103" id="19103" value="ME - Intern"/>
    </label></td>
    <td align="center" valign="middle"><label>
      <input type="checkbox" name="19104" id="19104" value="ME - FT"/>
    </label></td>
  </tr>
</table>
    <table width="600">
  <tr>
    <td width="260"> <strong>Other</strong></td>
    <td width="330"><input name="19111" type="text" id="19111" size="45" maxlength="150">&nbsp;</td>
  </tr>
</table>

<br />
<table width="600">
      <tr>
        <td width="325" align="left" valign="bottom"><p>Do you offer employment opportunities to international students who require CPT or OPT work authorization?</p></td>
        <td width="250" align="left"><select name="20" id="20">
          <option value="Dummy" selected="selected"></option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
          <option value="Maybe">Maybe</option>
        </select></td>
  </tr>
</table>
<p>If <strong>Yes</strong>, please be specific:</p>
<table width="456">
  <tr>
    <td width="222">
      <p>
        <label>Internships
          <select name="21" id="21">
            <option value="None" selected="selected"></option>
            <option value="Yes">Yes</option>
            <option value="No">No</option>
          </select>
        </label>
      </p>
    </td>
    <td width="222">
      <label>Full-Time</label>
      <select name="22" id="22">
        <option value="None" selected="selected"></option>
        <option value="Yes">Yes</option>
        <option value="No">No</option>
      </select>
    </td>
  </tr>
</table>
</br>
<table width="600" border="0">
  <tr>
    <td width="133" align="right" valign="bottom">For Security, type text exactly as it appears</td>
    <td width="457"><img src="https://www.cs.uic.edu/pub/ECC/EmployerRegistration/captcha.png" alt="" width="203" height="67" /></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td><label>
      <input type="text" name="23" id="23" size="30" maxlength="30"/>
    </label></td>
  </tr>
</table>
                  <p>&nbsp;</p>
                  <p>
                    <input type="submit" name="Submit" value="Submit Registration">
                  </p>
                <br /><br />
<br />


<strong>Engineering Career Fair Fee : $350.00</strong> <br>
<br>
Please register on-line and make check payable to:

<strong>Engineering Council</strong>

C/O Kate Kaplan, Director, UIC Engineering Career Center<br />
University of Illinois at Chicago<br />
College of Engineering (M/C 159)<br />
851 S. Morgan St., Room 820 SEO<br />
Chicago, IL  60607

<strong>The Engineering Council is unable to accept electronic payments.  They are only able to accept payments by check.  Thank you.

All proceeds from the engineering career fair are assigned to the Engineering Council, a UIC engineering student organization.  This money directly supports all engineering student organization activities including engineering conferences, senior design expo, research and other related projects. This student group is not a registered 501(c)(3) organization; therefore, payments to this organization cannot be classified as donations under IRS rules.  Additionally, W-9 forms will not be issued for this payment. </strong>

No refunds for cancellations after January 1st, 2014.

For all questions regarding the Engineering Career Fair, please contact:<br /><br />
Kate Kaplan<br />
Director, UIC Engineering Career Center<br />
University of Illinois at Chicago<br />
College of Engineering (M/C 159)<br />
851 S. Morgan St., Room 820 SEO<br />
Chicago, IL  60607<br />
312-996-2311<br />
klederer@uic.edu 
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          </form>
            </form>
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Topic revision: r5 - 2014-01-09 - 04:21:44 - Main.ronaldf
KirstenGorton
[edit this]
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