Note: The information captured in this form is used for conference badges and attendence metrics.
(example: Mr., Ms., CAPT)
b) DoD - Civilian
c) DoD - Military
d) Industry/Private Sector
e) Other Government Agency
f) Support Contractor
stationed locally, or
Which of the following
are you interested in attending?
DAY 1 - Plenary
DAY 2 - Career Fair
DAY 2 - Workshops
Are you a VETERAN interested in attending
our Career Fair and/or Workshops?
(format: 703-444-1212 Ext 777)
Does the Registrant require
any special accommodations?
If you selected yes,
Organizations that wish to participate in the career fair must have actual jobs to offer or
individualized support services for wounded service members, veterans and their families.
Due to room size, there is a three person per booth limit.
If you do not know who will be recruiting at registration time, please input your contact
information now and forward the new attendee information to:
forward the new attendee information to Mr. Ty Redmon
as soon as possible or NLT 2 weeks prior to the Career Fair.
Attendee 1 Information
Attendee 2 Information
Attendee 3 Information
Career Fair Information
What Type of display will you bring?
If you are bringing a floor display, what is the width?
Do you require electricity at your booth?
Do you plan to conduct interviews?
What positions are you trying to fill?
Please spell out positions titles
Deaf/Hard of Hearing
Other Special Needs:
Emergency Contact Information
Emergency Contact Name:
Emergency Contact Phone:
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