Career Day Registration Form

Tuesday, April 16, 2013 ~ Emmetsburg Campus
Career Day Registration Form – Due No Later Than April 1, 2013

DIRECTIONS:
Each student attending High School Career Day MUST pre-register by completing this online form. Complete each of the information fields below, and then select the career sessions you wish to attend. Select your 1st and 2nd choice for each of the three periods.

Indicates a Required Field

First Name:
Last Name:
Street Address:
City:
State:
Zip:
Email Address:
Date of Birth:
Current Grade:
Name of your high school:
1st Period Career Session (Choice #1):
1st Period Career Session (Choice #2):
2nd Period Career Session (Choice #1):
2nd Period Career Session (Choice #2):
3rd Period Career Session (Choice #1):
3rd Period Career Session (Choice #2):
Verification Code:

Iowa Lakes Community College
Campuses in Algona, Emmetsburg,
Estherville, Spencer and Spirit Lake.

Equal Opportunity Statement

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Career Day Registration Form

Tuesday, April 16, 2013 ~ Emmetsburg Campus Career Day Registration Form – Due No Later Than April 1, 2013

Tuesday, April 16, 2013 ~ Emmetsburg Campus
Career Day Registration Form – Due No Later Than April 1, 2013