Graduate School Fair Exhibitor Registration Form

* indicates required field.

Program Information

University Name (as you want it to appear in listings):*

Degrees Offered (check all that apply):

Master's

Clinical Doctoral-Entry Level

Clinical Doctoral-Post Entry Level

Research Doctoral

My Program Includes:

*If other, please specify.

Contact Information

Representative's First Name:*
(Enter the name of the individual that students may follow-up with before or after the event)

Representative's Last Name:*

Mailing Address:*

City:*

State:*

(Select) Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

Phone Number:*

Fax:

Representatives E-mail:*

Billing Notification E-mail:*

Academic Program URL:

PO#

Exhibit Schedule

Select all that apply

My Program is Exhibiting at the Graduate School Fair on Friday, November 15, 2013, 9:00 a.m. – 4:00 p.m. in the McCormick Place, Lakeside Center, Level 3

My research doctoral program will also exhibit at the GSF PhD Center in Exhibit Hall F1 on Thursday, November 14 (2-hour time slots available from 11:00 a.m. – 6:30 p.m.) A representative will contact you to reserve a table.

My research doctoral program will also exhibit at the GSF PhD Center in Exhibit Hall F1 on Saturday, November 16 (2-hour time slots available from 9:00 a.m. – 2:00 p.m.) A representative will contact you to reserve a table.

My Program Will Need Information to Purchase:

Internet connections, electrical outlets, and pre-convention shipping will be provided at the exhibitors expense.