Form Center

2. 
3. We are excited to invite local employers to our 2019 Healthcare Expo. The expo helps students explore their future in healthcare. The students will also engage in hands-on activities related to many possible career opportunities. We encourage you to register and consider sponsorship/ donation to support the youth expo.
5. Company*
6. Contact Name*
8. Address*
10. City*
11. State*
12. Zip*
14. Email*
15. Phone*
17. Website
18. Number of Representatives*
20. Category*

    1. Exhibitor (healthcare only)
    2. College or University
    3. Sponsor only
22. Help support the Healthcare Expo by promoting the Healthcare Industry. Please select any of the sponsorship options below.*

    1. Student transportation - $250 per bus
    2. Raffle Prize(s) - items valued at approximately $100 each or $100 gift cards
    3. Student food/beverage contribution - $100
    4. 400 promotional items with your company name for distribution at your event table (please bring the items with you the day of the event)
24. Company logo
    Please upload your company logo.
26. Contribution*
    -- Select One --Student transportation - $250Raffle prize(s) -$100 gift cardsStudent food & beverage - $100I will bring 400 promotional items with my company name to the eventI am unable to attend but would like to support the Healthcare Expo with a gift made payable to "Workforce Development"

    Please mail checks made payable to "Workforce Development" no later than September 13, 2019 to: Workforce Development Office, Attention: Jocelyn Gallagher, P.O. Box 311, Norristown, PA 19404.
28. Check amount
30. If you have any questions, please contact Melinda Onchitta at Melinda.Onchitta@montgomerycountypa.gov.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field