Husky Employer Partner Registration Form

Thank you for your interest in becoming a Husky Employer Partner Program (HEPP) member. Please complete the form below to begin the process.

If you would like to complete your membership online, you can do so after submitting this form with a Visa or MasterCard credit card.

Please note, fields marked with an asterisk (*) are required.

Your Contact Information

First Name: *

Last Name: *

Title: *

Email: *

Phone: *

Company/Organization

Company/Organization Name: *

Address: *

Address (cont.):

City: *

State: *

Zip/Postal Code: *

Technical Contact

In order to post your company logo and link to your website on the UW Career Center site, please complete the following information. Please note, the website address should be the specific page you want students to visit (not necessarily your main website).

First Name: *

Last Name: *

Tech. Email: *

Phone:

Membership and Payment

Which membership level are you interested in: *

How Do You Prefer to Pay?: *

Credit Card (online - m/c or visa only)

Credit Card (phone - m/c or visa only)

Check/Invoice

Do You Require an Invoice?: *

Yes

Note, if you pay online via credit card, you will be able to print a receipt directly.

CAPTCHA

Simply type the words shown below to submit your response.

UW Career Center

Husky Employer Partner Registration Form

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