Section Name


Employer Services Request Form

Employer Services Request Form
Southern Illinois University School of Law
Office of Career Services
Lesar Law Building, Carbondale Illinois 62901
Phone 618 453-8707  Fax 618 453-8732
Email lawjobs@siu.edu
Firm or Agency Information
Items marked with * are required.
*Firm or Agency Name
Size of Firm
Legal Practice Areas
*Address
*City
*State
*Zip
County
*Phone
Ext:
*Fax
*Email
*Contact Person
Web Page

Please read the appropriate policy on equality and sign in agreement by typing your full name below as a signature.
Non Military Policy of Equality or the Military Policy of Equality
If you are part of the US Military please check this box.

*Signature: Type your full name here:
                                                                                    (Date, time and I.P. will be recorded.)