Application for Education Fair

First Name: *
Last Name: *
Organization/Business Name: *
Mailing Address:
City: *
State: *
Zip: *
Email: *
Phone:
Organization/Business & Fair Set-Up Information The fields below are optional; however, this information will help the LEARN members assist you in organizing and preparing your specialized event.
Please provide a brief description of your organization:
1. Does your organization have an Education/Tuition Reimbursement Plan?
YesNo
If yes, please provide a brief description of the benefit plan?
2. What date(s), time(s), and/or time of year do you have in mind for your education fair(s)?
3. How many are employed at your location?
4. What level of education would your employees primarily be interested in? (Check all that apply)
CertificateAssociatesBachelorsMastersProfessional/PhD
5. Please specify any degree programs that would be a benefit to your employees or would specifically comply with your tuition reimbursement program.
6. Please provide any additional information you think would be vital for the LEARN contact to know to share with the membership.