Contact information: Agency name: * Contact person: * E-mail: Phone: * Mailing address: * City: * State: * - - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: * Will you attend the orientation on June 1 from 3:30 to 5 p.m.? * Yes, I will attend. No, I cannot attend. If more than one person will attend the orientation, please indicate how many: Booth options: Standard booth provides one 8' table and two folding chairs. What type of booth will you be hosting? * Community Service Jobs For Community Service booths, what type of booth will you have? (Check all that apply.) Display (informational materials and/or sample products) Demonstration (how-to or hands-on) Services (screenings, assistance with applications, etc.) For Job Fair booths, what type of booth will you have? (Check all that apply.) Job Training Programs Paid Internships Unpaid Internships Recruitment for Future Job Openings Recruitment for Immediate Job Openings (Hiring on Event Day) Green Jobs Available Green Job Training Other needs: Do you require electricity? * Yes No Type this code: (no spaces) *