Legal First Name *
Legal Last Name *
Email *
Phone *
Zip Code *
18 Years Old or Older? * Yes No
Highest Level of Education Completed * High School or Equivalent Technical/Associates Some College Other
Preferred Method of Communication (Check All That Apply) * PhoneEmailText
Shift Preference (Check All That Apply) * 8 Hours12 HoursPart-TimeOther
Schedule (Check All That Apply) * MorningsDaysEveningsNightsWeekends
Facility Preference * 3030 Airport Rd, La Crosse 546032009 West Ave S, La Crosse, 54601
Are you a US Citizen or have documents that legally allow you to work in the US? * Yes No
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