Placement Program

Campus Recruiting Information Form

By completing the form below, you indicate that you have read the policies and procedures statement for the Chemistry Placement Program and agree to abide by the requirements of that statement. Chemistry Department Policy dictates that interview appointments be made available to ALL qualified candidates regardless of citizenship status.

Items with an asterisk (*) below are required.

Employer *
Address *
City *
State *
Zip *	-
Person making arrangements *
Title *
Phone *
Fax *
E-mail *
Interview date as scheduled with Chemistry Placement Program (mm/dd/yy) *	/ /

Positions Available *	Desired Qualifications *	Degree Levels * (check all that apply)
		B.A. B.S. M.S.	Ph.D. Post. Doc.
		B.A. B.S. M.S.	Ph.D. Post. Doc.
		B.A. B.S. M.S.	Ph.D. Post. Doc.

Will interview (check all that apply)	August '04 grads May '05 grads Alumni	December '04 grads August '05 grads
Interviewing for these locations
Special scheduling instructions
URL of corporate Web site
Number of separate recruiter schedules each day (typically one per recruiter *
Starting time (office opens at 7:30 a.m.) *
Last appointment must conclude by *
Length of interviews including time between interviews for paperwork *	30 minutes 45 minutes	1 hour
Name of recruiters	1. * 2. 3.
Recruiter's Hotel
Arrival date and time	/ / at
Departure date and time	/ / at
Would recruiter like to host one or more of our faculty for lunch? *	No Yes
If yes, specify faculty *
Have you scheduled a general information meeting (GIM) *	No Yes
If yes, date and time *	/ / at
AV and food needs * We have overhead project, slide projector, LCD projector, and TV/VCR

By submitting this form to the IU Department of Chemistry Placement Program, you affirm that your organization is an equal opportunity employer, offering employment without regard to race, color, religion, sex, national origin, age, or citizenship unless legally required, and provide Equal Employment Opportunity to handicapped individuals, disabled veterans, and veterans of the Vietnam era.

Name *
Title *