Fletcher's Work Ready U Enrollment Application
Please contact our office by phone (1-985-448-5925 or 1-985-448-5922) OR by email (WorkReadyU@fletcher.edu) if you have any questions and/or concerns.
Email address *
Last Name *
First Name *
Social Security Number
Date of Birth *
MM
/
DD
/
YYYY
Gender *
U.S. Citizen? *
Mailing Address *
City *
Zip code *
Parish *
Primary Phone Number *
Phone Type *
Are you of Hispanic/Latino origin? *
Race *
Current Employment Status *
If employed, name of employer? (If not employed, please just enter N/A) *
If employed, employment date? (If not employed, please just enter N/A) *
If employed, Occupation? (If not employed, please just enter N/A) *
Highest degree, or level of completion? *
What would you like to do? *
Required
Please type your name verifying that all of the information provided is completed to the best of your knowledge, true, and correct. *
Submit
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