USM CAREER SERVICES AND PROFESSIONAL LIFE DEVELOPMENT Graduate and Professional School Information Day Registration Form Will you be participating? Yes No Institutional Information Organization Program Name Work Phone FAX E-mail URL Contact Information Name Title Work Phone E-mail > Will you need electricity? Yes No Representative Information Name Title Street Address Address (cont.) City State/Province Zip/Postal Code Work Phone FAX E-mail Representative Two Name Title
Representative Information
Please give a brief description of your school or program. This information may be used on our website for students to view.
When you have completed your registration form, please mail your $150.00 fee made payable to USM Career Services and mailed to:
Univ. of Southern MaineAtten: Mary Ann Benson96 Falmouth Street PO Box 9300Portland, ME 04104-9300