Employers wanting to register to post job opportunities, please complete the following. Please print or type responses clearly.
**IDENTIFYING USERNAME AND PASSWORD ARE REQUIRED FOR ACTIVATION**
Complete the following and return to SES:
Organization Name:___________________________________________________________________
Department:_________________________________________________________________________
First Name:________________________MI:_____Last Name:_________________________
**Identifying Logon ID(Maximum 9 letters):____________________**Password(Maximum 15 letters):____________________________
Address:____________________________________________________________________________
City:_____________________________State:____________Zip:__________________
Telephone #:____________________________ Fax #:__________________________
E-mail:______________________________Employer Website:__________________________Signature of Company Representative:_______________________________________________
Date:____________________________
You may update submitted information at any time.