Placement Service Registration for Interviewing Departments

 

APA 2006 Central Division Meeting Palmer House Hilton, Chicago, Illinois April 26-29, 2006

Only one form is required for each interviewing department.

Institution: ___________________________ Department: __________________ Contact: _____________________________

 

Phone: ______________________ City, State: _____________________________Email: _____________________


All persons conducting interviews should be registered** for the Central 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)

 

____ need interviewing table(s) ______ Quantity of Tables ____ conduct interviews in a hotel suite (you must contact Linda Smallbrook to reserve a suite)

 

Our department will: (Please Check)


____ provide suite # and list of prearranged candidates to whom suite information may be given --or--

____ bring suite # and allow service to give to anyone who requests it

 

Our department will: (Please Check) ____ conduct prearranged interviews only --or--

____ accept interview requests on-site

 

Position advertised where? (Check All Applicable) JFP: ____Oct., ____ Nov., ____ Feb, ____ Web ONLY Ad, ____ NEW JOBS Section

 

Registration Fees: ______ Pre-Registration, By April 7: $50.00 (Please Check One) ______ *Regular Registration, After April 7: $75.00

 

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


Credit Card #: 

Exp. Date/(can be faxed to (302) 831-8690)

 

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 April 7, 2006 you MUST pay the on-site fee! Please mail form and payment to: Attn: Lindsay Palkovitz, Placement, The American Philosophical Association, 31 Amstel Avenue, University of Delaware, Newark, DE 19716