EECS Internship Open House Registration* Form

January 24, 2008
Betty and Gordon Moore Lobby
Hearst Memorial Mining Building
2:00 - 5:00pm

*Registration for ILP/Internship Members. If you are not a member, but would like to participate in the Internship Open House send email to: indrelations@eecs.berkeley.edu. Please register by 5:00pm, Friday, January 18, 2008.

Company:
Contact First Name:
Contact Last Name:
Title:
Address line 1:
Address line 2:
City:
State:		Zip:
Phone:
Fax:
Email:
Internship webpage url:

For questions or to ship materials ahead of time, please send to:

Mary K. Byrnes
Center for Student Affairs
205 Cory Hall #1770
University of California
Berkeley, CA 94720
Phone: (510) 642-3694/ Fax: (510) 642-2198