Cobber Career Network

Please provide the following personal contact information:

Full Name
Maiden Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
Class Year   

Please provide the following employment contact information:

Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Select up to three occupational codes that most closely relate to your current position:

Accounting   Advertising/PR   Agriculture/Ranching Architecture
Arts/Performance  Banking  Brokerage/Securities/Investments Business/Administration 
Business/Entrepreneur Civil Service    Clergy Consulting
Computing/Info Systems Construction/Contracting  Cosmetology   Counseling
Daycare  Dentistry  Economics Education/Administration
Education/Elementary Education/Secondary  Energy Resources Engineering 
Estate Planning  Finance Foreign Service Foundations
Government/Elected Government/Non-Elected  Homemaker  Hotel/Restaurant 
Human Resources Insurance Judiciary/Law Laborer
Medicine/Health  Merchandising/Sales/Marketing Military Nursing
Pharmacology  Photography Physical Sciences/Math  Physician 
Publishing/Writing Radio/Television/Film Real Estate Research/Development
Retired  Social Services  Sports/Recreation  Support Staff/Secretarial
Transportation/Travel  Technician  Utilities  Volunteer 

Please indicate how many students you would like to have contact with on a yearly basis:

One
Two
Three
Four or more

Please indicate the name of your undergraduate institution, field of study, and year of completion in the box below:

       

If you have continued your education beyond an undergraduate degree, please indicate the name of the institution, field of study, degree/certification, and completion date in the box below:


Finally, briefly (2-3 sentences) describe your job.




Revised: June 20, 2006