Placement Service Registration for Interviewing Departments
APA 2007 Eastern Division Meeting
Marriott Inner Harbor, Baltimore, Maryland December 27-30, 2007

Only one form is required for each interviewing department. Once completed, this can be faxed to (302) 831-8690.

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:

_____ need interviewing table(s) Quantity of Tables_____

–or–

_____conduct interviews in a hotel suite (you must contact Linda Smallbrook to reserve a suite)

Our department will:

____ 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:

____ conduct prearranged interviews only

–or–

____ accept interview requests on-site

Please list the JFP issue(s) (if any) in which this job was advertised: ________________________

Registration Fees (Please Check One): ______ Pre-Registration, By December 3: $50.00

______ *Regular Registration, After December 3: $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 3, 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.