Liaison Program Registration Form
http://home.moravian.edu/public/career/
1.
Name
Name
Graduation Year
Graduation Year
Demographic Information
Demographic Information
Employer Name:
Job Title
Employer Address:
Employer Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
Website
Website
Does your organization hire interns?
Does your organization hire interns?
Yes
No
If so: when?
If so: when?
Fall
Spring
Summer
Are positions
Are positions
paid?
for credit?
both?
When is the best time of year to contact you about internships? Please list months based on your organization’s hiring cycle so we can ensure students have ample time to view and apply for positions.
When is the best time of year to contact you about internships? Please list months based on your organization’s hiring cycle so we can ensure students have ample time to view and apply for positions.
Are there other Moravian College alumni employed at your organization?
Are there other Moravian College alumni employed at your organization?
Yes
No
If so, who are they?
In serving as a liaison to the Moravian College Career Center, you will be contacted three times a year via email about posting internships and full-time positions for our students and alumni. Are you able to receive these emails and contact your HR office for detailed postings you can share with the Career Center?
In serving as a liaison to the Moravian College Career Center, you will be contacted three times a year via email about posting internships and full-time positions for our students and alumni. Are you able to receive these emails and contact your HR office for detailed postings you can share with the Career Center?
Yes
No
Comments
Are you interested in helping in other capacities such as:
Are you interested in helping in other capacities such as:
Hosting a student for a day of shadowing.
Being contacted by a student for an informational interview.
Helping with Mock Interview Day if your schedule permits.
No, I am not able to assist in other capacities.
Thank you for registering for this program. Please contact the Career Center with questions.
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