<h2 align="center"><img src="/id0904f67a80629a2b" alt="" width="403" height="150" /></h2>
<h3 align="center">Networking Volunteer Form<br /></h3>
<p>If you have any problems submitting the form online, please e-mail your information to <a href="mailto:kabenne@siue.edu">kabenne@siue.edu</a>.</p>
<form name="Speednetworking" enctype="text/plain" action="mailto:kabenne@siue.edu?subject=*Speed Networking Volunteer" method="post">
<table border="0" width="500">
<tr>
<td></td>
</tr>
<tr>
<td class="textbodybolda" colspan="2"><br /> Networking Volunteer’s Information</td>
</tr>
<tr>
<td width="129" class="text1" align="right">Name</td>
<td width="361"><input name="NAME" size="30" maxlength="30" type="text" id="NAME" /></td>
</tr>
<tr>
<td width="129" class="text1" align="right">SIUE Graduation Year(s)</td>
<td width="361"><input name="GRADYEAR" size="30" maxlength="30" type="text" id="GRADYEAR" /></td>
</tr>
<tr>
<td width="129" class="text1" align="right">Degree/Major</td>
<td width="361"><input name="DEGREE" size="30" maxlength="30" type="text" id="DEGREE" /></td>
</tr>
<tr>
<td class="text1" align="right">Address</td>
<td><input name="ADDRESS" size="40" maxlength="40" type="text" id="ADDRESS" /></td>
</tr>
<tr>
<td class="text1" align="right">City, State Zip</td>
<td><input name="CITY" size="40" maxlength="40" type="text" id="CITY" /></td>
</tr>
<tr>
<td class="text1" align="right">Phone Number</td>
<td><input name="PHONE" size="30" maxlength="30" type="text" id="PHONE" /></td>
</tr>
<tr>
<td class="text1" align="right">E-mail</td>
<td><input name="EMAIL" size="30" maxlength="30" type="text" id="EMAIL" /></td>
</tr>
<tr>
<td class="text1" align="right">Job Title</td>
<td><input name="JOB" size="30" maxlength="30" type="text" id="JOB" /></td>
</tr>
<tr>
<td class="text1" align="right">Company</td>
<td><input name="COMPANY" size="30" maxlength="30" type="text" id="COMPANY" /></td>
</tr>
<tr>
<td class="text1" align="right">Work Address</td>
<td><input name="WORKADDRESS" size="40" maxlength="40" type="text" id="WORKADDRESS" /></td>
</tr>
<tr>
<td class="text1" align="right">Work City, State Zip</td>
<td><input name="WORKCITY" size="40" maxlength="40" type="text" id="WORKCITY" /></td>
</tr>
<tr>
<td class="text1" align="right">What area(s) of expertise can you offer to attendees?</td>
<td><input name="EXPERTISE" size="30" maxlength="30" type="text" id="EXPERTISE" /></td>
</tr>
<tr>
<td valign="top" class="text1" colspan="2" align="center"><input name="Submit" type="submit" value="Submit" /> <input name="reset" type="reset" value="Reset" /></td>
</tr>
</table>
</form>