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Empire Season Application

First name

*

Last name

*

Phone number

*

Email

*

*

Please select your race / ethnicity (select all that apply)

*

Please select your race / ethnicity (select all that apply)

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Other

What type of work would you be interested in with our Season?

*

What type of work would you be interested in with our Season?

What is your level of experience with the work area(s) you selected?

*

What do you hope to gain from our program?

*

What sort of employment are you considering for the future?

*