Labor Studies Program

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Labor Studies Information Form

For information about the Labor Studies Program, complete the form below and fax it to (219) 980-6834.

Our on-line form may not work with some browsers, but you can complete the form, print it, and fax it to us at (219) 980-6834, or you can always e-mail us your requests.

First Name:

Middle Name:

Last Name:

Home Address:

City:

State:

Country:

Zip Code:

E-Mail Address:

Home Phone:

If you are a union member, please tell us your union name and local number:

Previous Schooling - Please Check Highest Grade Completed

If Other, please specify:

Please complete if your union will be paying for your course. Union/Career Development

Any additional information: