CAREER DAY
OCTOBER 29, 2009

REGISTRATION FORM
Registration deadline, October 1, 2009

Check one:
Undergraduate Student
Undergraduate Faculty

UAMS Faculty
UAMS Graduate Student
UAMS Post Doc

First Name:
Last Name:
Address:
City:
State, Zip    
E-mail Address:
Phone:
Undergraduate students only:  
Institution:
Major:

Anticipated year of graduation:

   
What do you hope to gain by attending the career day at UAMS?

There are a limited number of complementary hotel rooms for out-of-town attendees on October 28, 2009. These will be reserved on a first-come first-serve basis. Your reservation will be confirmed when you registration form is received. Lodging details will be distributed with confirmation letters.

I will require lodging on October 28, 2009:
Yes
No
Roommate requested (UAMS does not set-up roommates):
   Name:  


I plan to attend:

The breakfast on October 29, 2009 (space is limited)
Yes
No
The lunch on October 29, 2009(space is limited)
Yes
No

Please submit your complete registration form by October 1, 2009. For more information, contact:

Kristen Sterba, Ph.D.
Assistant Dean, Office of Graduate Student Recruiting and Retention
Graduate School
University of Arkansas for Medical Sciences
4301 W. Markham Slot 601
Little Rock, AR  72205
phone (501) 526-7396

Fax (501) 686-5661
kmsterba@uams.edu

 


    

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