Event and Program Registration Form

Instructions: Provide the information in the following form and submit it to Career Services. If you have any questions, call 202-319-5623 between 9 a.m. and 5 p.m., Monday-Friday

NOTE: Please complete all fields. Use the TAB key to advance from field to field. Hitting the ENTER key will submit the survey to us prematurely.

Event or Program's Title:

Date:

Time:

Your Name:

Major:

Year: (fr., so., alum.,...)

Local Phone: (with area code)

E-Mail Address

Do you require accommodations?

Accommodations

CANCELLATION POLICY I understand that the Career Services Office makes decisions concerning programming based on my commitment to attend an event. Should I need to cancel, it is important that I notify the Career Services Office at least 2 business days prior to the event so that adjustments can be made or so that another student can be found to take my place. The Career Services Office is located in Room 127 of the Pryzbyla Center and is open Monday-Friday from 9:00am - 5:00pm. We can also be reached by phone at 202-319-5623 or by e-mail at careers@cua.edu.

I have read and understand the Cancellation Policy

* Suggestion: Print a copy of the next page for your own records.

Questions or Suggestions? Email us at: careers@cua.edu

Last reviewed: August 10, 2012

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