Registration Health Professions area(s) - Check all that apply Clinical Lab Sciences Dental Medical Nursing Occupational Therapy Optometry Pharmacy Physical Therapy Physician Assistant Speech, Language & Hearing Sciences Test Preparation (MCAT, DAT, OAT, etc) Other: * Institution/Program/Company Institution/Program/Company website link * Primary Representative attending the fair * Primary Contact Role * Contact Phone Number * Primary Contact Email Additional Contact Additional Contact Email * How many representatives will be staffing your table in total? Please note - registration is for one table, we recommend no more than 2 representatives. If you would like a second table, a second registration will be required. * Would the representative(s) like a provided boxed lunch? Yes No Please include any dietary restrictions needed for representatives, and please include name of representative for the meal(s). Vegan Vegetarian Gluten-free Other: Special Needs/Requests for your table? We will do our best to honor these- any requests regarding accessibility will be prioritized * indicates required fields Next