PLACEMENT SERVICE REGISTRATION FOR INTERVIEWING DEPARTMENTS APA 2007 CENTRAL DIVISION MEETING THE PALMER HOUSE HILTON, CHICAGO, IL. APRIL 18-21, 2007
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 Indicate Quantity of Tables)
need interviewing ______ table(s)
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: (Please Check One)
______ Pre-Registration, By March 21: $50.00
______ *Regular Registration, After March 21: $75.00
Credit Card Type: (Circle One) VISA / MASTERCARD
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 March 21, 2007, 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