SLA New England Day on the Job 2012 Host Sign Up

Deadline extended: April 6th, 2012.
For questions, contact:
Chris Hurd,
Student Relations Committee
E-mail: churd82@gmail.com

Please Note: To ensure better matching all questions on this survey are required. Please fill in "n/a" if you do not have an answer.

Question Title

Please enter your contact information. Each field must be completed.

First name:

Last name:

Organization:

Address:

City:

State:

Zip:

Phone:

E-mail:

Question Title

Subject area(s)

Business/Finance

Law

Medical

News

Pharma/Biomed

Science/Engineering

Other (please specify)

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Library / Information Center Setting

Academic

Corporate

Government

Non-Profit (non government)

Other (please specify)

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Accessible by public transportation?

Yes

Question Title

Number of students you can host.
(Can be simultaneously or separately)

Question Title

Are you a member of SLA?
Note: SLA membership is not a requirement for participation in the "Day on the Job" program.

Yes

Question Title

Please add any comments or questions here:

Thank you for supporting this program.
To complete registration form, please click the NEXT button.

Question Title

Please enter your contact information. Each field must be completed.

Question Title

Subject area(s)

Question Title

Library / Information Center Setting

Question Title

Accessible by public transportation?

Question Title

Number of students you can host.(Can be simultaneously or separately)

Question Title

Are you a member of SLA?Note: SLA membership is not a requirement for participation in the "Day on the Job" program.

Question Title

Please add any comments or questions here:

Number of students you can host.
(Can be simultaneously or separately)

Are you a member of SLA?
Note: SLA membership is not a requirement for participation in the "Day on the Job" program.