Chicster Application

Full Name: *

your name (first & last):

Home Phone: *

your phone (home):

Email: *

your email

Street Address:

permanent street address 1

Street Address 2:

permanent street address 2

City:

State:

Zip:

Personal Blog:

Facebook Link:

Twitter Account:

Education

School: *

name/location of school

Degree, field of study and expected graduation date: *

How often could you contribute?: *

How often do you plan on contributing trend reports per month?

What are you involved in at school? Also, list any awards or honors you've received in college.:

Upload your resume here::

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