SUPERIOR TALENT: PRICE COUNTY APPLICATION
March 7-9, 2019

Please complete the application below to be considered for Superior Talent. For any questions about Superior Talent or assistance with your application, please contact Mary Lois Bolka at mbolka@nwwib.com or 715.682.9141, ext. 118.

Name *
Name
Phone *
Phone
Address *
Address
Program of Study *
Gender *
(Used for room assignments)
Will be bringing your spouse/significant other with you? *
(Used for room assignments)
This information will be used to connect spouses/significant others to employers within their related career field.
Preferred Roommate
Preferred Roommate
If you are attending Superior Talent with a friend and want to room with them, let us know!
On March 7, 2019, will you be over the age of 18? *
On March 7, 2019, will you be over the age of 21? *
(Shoes will be provided for facility tours)
Any dietary restrictions we should be aware of? *
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
How did you hear about Superior Talent? *
Please type your name in the field below if you agree with the above statement.