Placement Service
Registration for Interviewing Departments
APA 2006 Eastern Division Meeting
Marriott Wardman Hotel, Washington, D.C.
December 26-30, 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 Eastern 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 issue number in which your ad ran: ______________________________________________
Fees: ______ Pre-Registration, By December 5: $50.00
(Please Check One) ______ *Regular Registration, After December 5: $75.00
Credit Card Type: (Circle One) VISA / MASTERCARD
Credit Card #:
Exp. Date
/ Last 3 digits on back of card: 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 $30 charge for all returned checks. **If PAYMENT is not received in our office by December 5, 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