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Health Careers Expo
Wednesday, March 19, 2008

Please use this online form to register for the Expo. Fill in the form and then click the "Register" button.

First Name

Last Name

School

Grade

Grade 9
Grade 10
Grade 11
Grade 12
Other

Race (check one or more categories):

African American
American Indian or Alaska Native
Asian or Pacific Islander
White
Hispanic Origin

Gender

Male
Female

Email

Teacher or Staff Person Accompanying Your Group

Listed below are the four major areas of health care that will be represented at the Expo. Please indicate which area is of most interest to you.

Pediatric and Adolescent Health Careers
Geriatric Health Careers
Dental Health Careers
Health Careers in Business and Technology