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Basic
First Name:
Middle Initial:
Last Name:
E-Mail Address:
M-Number:
Current Address
Street Address:
City:
State:
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CO
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IL
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Zip Code:
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Home Address
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AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NB
NC
ND
NE
NF
NH
NJ
NM
NS
NV
NY
OH
OK
ON
OR
PA
PE
PQ
RI
SC
SD
SK
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
Country
Work Preferences
Which area(s) would you like to work in?
Which semester(s)?
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Hour Preferences
Monday:
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Tuesday:
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Afternoon
Dinner
Late Night
Wednesday:
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Afternoon
Dinner
Late Night
Thursday:
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Lunch
Afternoon
Dinner
Late Night
Friday:
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Afternoon
Dinner
Late Night
Saturday:
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Afternoon
Dinner
Late Night
Sunday:
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Available Anytime
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Breakfast
Lunch
Afternoon
Dinner
Late Night