Placement Service
Registration for Interviewing Departments
APA 2003 Pacific Division Meeting

The Westin St. Francis, San Francisco, CA
March 26-30, 2003 Only one form is required for each interviewing department.

Institution: _______________________________ Contact: __________________________
Department: _______________________________ Phone: ___________________________
Address: _______________________________ Fax: ___________________________
_______________________________ Email: ___________________________
All persons who will be involved in conducting interviews should be registered* for the Pacific
Division Meeting as well as the department being registered with the Placement Service.

*Registered members of the department who will be conducting interviews:

_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________

Our department will: (Please Check All Applicable)
______ need interviewing table( s) _______ Quantity of Tables
______ be conducting interviews in a hotel suite
______ bring list of candidates' to give suite information to
______ give permission to give suite info. to anyone who asks
______ be conducting prearranged interviews only
______ be accepting interview requests on-site

Position advertised where? (Check All Applicable)
JFP ____ Oct, ____ Nov, ____ Feb, ____ Web, ____ Placement Board

Registration Fees: ______ Pre-Registration, By March 14, 2003: $50.00
(Please Check One) ______ * On-Site Registration, After March 14: $75.00

Credit Card Type: VISA / MASTERCARD / DISCOVER (Circle One)
Credit Card #:                                                   Exp:          /

Name on Card: _________________________________ Phone #: _____________________
Signature: _____________________________________ Email: ________________________
** Check #: ______________ Check Date: _____________ Check Amount $ __________
** Payable to: The American Philosophical Association. The APA only accepts checks drawn on U. S. banks in U. S. funds, or Int'l. Money Orders in U. S. funds. There is a $20 charge for all returned checks.

*If PAYMENT is not received in our office by March 14, 2003 you MUST pay the on-site fee!
Please mail form and payment to: Attn: Connie Lilly, Placement, The American Philosophical Association, 31 Amstel Avenue, University of Delaware, Newark, DE 19716

Credit card payments can be faxed to (302) 831-8690