College of Allied Health Professions
Physical Therapy
2024 SUN-APTA Physical Therapy Career Fair
October 11th, 2024 at the University of Nebraska Medical Center
Last Day to Register is October 4th, 2024
Location: Student Life Center Gym at 3908 Jones Street, Omaha
* Denotes required field
Contact Information
*
Organization Name
*
Full Name
*
Title
*
E-Mail
I would like to receive updates about the Career Fair via email.
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
Fax Number
*
Are you a third party recruiter?
Yes
No
*
For what organization?
*
Alumni?
Yes
No
*
What was your graduation year?
*
Do you offer a Residency program?
Yes
No
*
In which specialty area(s)?
*
Does your company employ occupational therapists in addition to physical therapists?
PT only
PT and OT
Representative Information
Please Select How Many Representatives Will Attend. (First 2 Are Included in the initial donation. Additional Reps are $20.00 Each)
1 (Included)
2 (Included)
3
4
5
6
7
8
9
10
11
12
13
14
15
Representative 1 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 2 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 3 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 4 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 5 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 6 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 7 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 8 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 9 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 10 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 11 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 12 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 13 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 14 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Representative 15 Information
*
Full Name
Representative E-mail
Enter any special dietary needs below:
Billing Information
Registration donation is $300.00.
Registration Donation includes meals for 2 representatives, a 6' display table with cover, and privacy dividers.
All payments are to be made by Credit Card or eCheck.
Credit Card payments are subject to a surcharge.
Sorry, but there will be no refunds for any donations made.
Total Charges: $
300
Other Information
Participants of this event may be photographed and/or recorded as part of the audience. UNMC may use the photographs or recordings for teaching as well as advertising, publicity, promotion, or other media purposes. Please notify
sunapta@unmc.edu
if you object to the use.
Additional Comments or Requests?
Have questions about the event? Please contact SUN-APTA at
sunapta@unmc.edu
Having trouble with the registration form? Please contact Steve Pera at
spera@unmc.edu
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