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Job Fair Registration Form
Collection of data is for statistical purposes only and to ensure equitable delivery of services.

Thursday, January 12th, 9-1 pm (Snow Date: January 13th)
1600 Valley Road
Wayne, NJ 07470

Veteran’s Assistance will be available.
PLEASE PLAN ON ARRIVING EARLY.
SOME COMPANIES MAY NOT BE ABLE TO STAY UNTIL 1:00 P.M.

Last Name
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First Name
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Address
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City
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State
ZIP
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County
Sex
Telephone
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E-mail Address
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Highest Grade Completed
US Citizen
Disabilities Services
For Americans with Disabilities Act accommodations, or more information,
please call 973-742-9226 – ext. 7212 before December 19, 2016.
I hereby acknowledge and grant permission to William Paterson University and The Passaic County One Stop Career Center the use of my image in visual reproduction, publication, taking, filming, and/or videotaping in whole or in part and in any medium for any lawful purpose including, but not limited to illustration, promotion, or advertising without any further compensation to me. Permission is restricted to William Paterson University and The Passaic County One Stop Career Center as sole users of my image for the purposes stated above. I waive any rights to notice or approval of any use of the imaging and/or photographs which William Paterson University or The Passaic County One Stop Career Center may make of or authorize. I release, discharge, and make harmless William Paterson University, The Passaic County One Stop Career Center, and its agents and licenses from any claims or liability in connection with the use of the aforesaid imaging or photographs.
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