Career Office
On-Campus Recruitment Agreement Form 		PBCC logo
  Location Phone Fax  
  Belle Glade 561-993-1167 561-993-1129  
  Boca Raton 561-862-4325 561-862-4326  
  Lake Worth 561-868-3066 561-868-3067  
  Palm Beach Gardens 561-207-5350 561-207-5353  
Please complete all of the information below.  
* = Mandatory Fields
 
Prior to completing this form, please consult the PBCC On-Campus Recruiting Guidelines to ensure a successful visit.  Note: This request is unofficial until you receive written confirmation from Career Center staff a the location which you have requested to visit.  We reserve the right to decline any application.

*Organization Name

*Organization Profile

 Organization URL

*Address

*City

*State

*Zip Code

*Contact Person

*Title

*Phone

 Fax

*E-mail

*Recruiter Name

*Title

*Requested Date

   

*Location

 

  Time
  
Beginning Time                Ending Time
    Note: Maximum student activity occurs between 9 a.m. - 1 p.m. OR 5:30 p.m. - 8 p.m. Monday through Thursday.

* Position (s) Available
           

Position / work site location
           

* Does your organization require a prospective employee to purchase a product or service, or pay a fee as a condition for employment or to participate?

Yes No

 
Is your organization a third-party recruiter (ie. Employment or temporary staffing agency, search firm, contract recruiter or human resources consulting-related firm, etc.) whereby the "hired" individual is working for another organization?
 

 Yes No

If yes, please explain

   
           

Additional information requests

Non-discrimination Agreement
The organization that I represent is an Equal Opportunity Employer and committed to a policy against discriminatory practices based upon age, race, color, religion, gender, national origin, marital status, disability or any other characteristic protected by law.

If you agree to the above statements, please click on the submit button. If you do not agree, click on cancel.