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Community Action Fair Registration

For Community Partners Only (Students Need Not Apply)

Contact Person:
Address:
City:
State:
 e.g. WI,MN,IL
Zip Code:
Organization/Dept. Name:
Email Address:
Telephone:
 e.g. 123-456-7890

YES, we are planning to attend The Next Step: Creating Internships from
Service Learning Opportunities from 9 - 9:30am.

YES, we will need parking permits.
Please enter the number of parking permits you will need:
Parking permits will be mailed to you prior to the fair.

We will also need access to the following:
Electrical Outlet
Table


Please let us know if you have any other questions, requests or concerns:



Please press the submit button only once.
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