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_____________________________________________________
ID No.
_____________________________________________________
Name
_____________________________________________________
Address
_____________________________________________________
City/State/Zip
_____________________________________________________
Day Phone Number
_____________________________________________________
Email Address

Major(1)________________ (2) ________________ Minor ______________

Grad Date _________ /_______ (mo/yr)

$25.00 registration fee allows full access to Blugold CareerLink for current University of Wisconsin - Eau Claire students and alumni not previously registered. (Check or exact cash only.)

Note: Alumni who previously registered with Blugold CareerLink can contact Career Services or phone 715-836-5358 to reactivate their account, at no additional cost.

Make checks payable to: UW-Eau Claire

Forward form and payment to:
Career Services, UW-Eau Claire
P.O. Box 4004
Eau Claire, WI 54702-4004
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FOR OFFICE USE ONLY:

Date Received _____________ Expiration Date ____________ Input ______________