WERF On-Line Registration Instructions:
1.
Complete this form.
2.
After WERF processes your registration, your Login ID and other instructions will be sent by email.
WERF College Registration and Work Reservation
Contact Information
Full Name:
Title:
Email Address:
Office Information
College/University:
Placement Office:
Address 1:
Address 2:
City:
St:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Phone:
-
-
Fax:
-
Workers
Number of Workers:
0
1
2
3
(
Please list ALL workers' names below.
)
1.
Name:
Comments:
2.
Name:
Comments:
3.
Name:
Comments:
Set Password
Enter 5 - 10 character password for login.
Clears ALL Fields