Star of the North Resident Application
If you are interested in more information before or after submitting this application, please call 218-461-0564.
Email address *
City and State Living in Currently *
Are you a resident of Northeastern MN or Northwestern WI? *
Name (First, Middle and Last) *
Cell Phone Number (where you can be reached) *
Can we text you at this number? *
Required
Other Contact Name and Association to you (parent, spouse, etc) *
Other Contact number &/or email: *
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