Impact Registration

Company Information

Company or Organization Name:

Company Address:

Industry:

Primary Company Contact Information:
Name
Position
Address
Phone
Email

Secondary Company Contact Information:
Name
Position
Address
Phone
Email

Please provide a brief description of your company (to be destributed to students):

Please provide a brief description of how your company is socially and/or environmentally conscious (to be distributed to students):

What type of positions are you looking for?
Internships
Full time positions
(Optional) specify:

Majors of Interest (check all that apply):
Architecture and Planning
Engineering
Humanities, Arts and Social Sciences
Management
Natural Sciences

Registration Package

Please designate one. See website for more information about the options. You will be contacted about arranging further details.

Non-profit - $375
Small Business - $375
Basic - $500
Featured Sponsor - $1000

Checks should be payable to "Impact, c/o Design for Change" and sent to
Bob Richard, attn: Impact
Careers Office, Room 12-184
77 Massachusetts Avenue
Cambridge, MA 02139

Booth Facilities:
Electricity will be provided for all booths. Phone lines and/or Internet Access will not be available.
Number of packages to be shipped:
Number of electrical outlets necessary:
Please note additional A/V requests below:

Impact Events:

How many representatives from your company will attend the career fair on February 6th? (Lunch provided)
All company representatives are welcome to attend the keynote address and an informal networking session to follow on the evening of February 6, 2008.

Names and emails of Career Fair Attendees:
1. Name: Email:
2. Name: Email:
3. Name: Email:
4. Name: Email:

Additional Questions:
How did you hear about Impact?

If you have already been in contact with an Impact representative please provide that individual’s name here:

Additional Information:

Upon receipt of your registration, you will receive a registration confirmation email from your Impact representative. A copy of your registration will be emailed to the company contacts you listed.

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