* 1. Name (first and last)

* 2. Agency/Organization/Company name

* 3. Your email

4. Phone number (recommended)

* 5. Will you attend the Opportunity Fair at Willamette University on Thursday, April 10, 2014, from 3pm-6pm?

* 6. Do you plan on attending the Internship Workshop on March 17th 9am-11am? The Internship Workshop is designed to assist you in creating an internship position that best fits the needs of your organization and your intern.

7. What kind of internship, volunteer, or employment position are you interested in filling? Is there a specific time you hope to hire an intern/volunteer/employee by? (Optional)

* 8. Do you require a table for the Opportunity Fair? Are there any other materials you need us to provide for you?