If you prefer we use a different first or middle name than your legal name, please enter them below.

Please enter at least one phone number.

The following questions relate to racial and ethnic identity. Please respond to both questions.

I certify that the information on this application is true and complete to the best of my knowledge. I understand that typing my name in the box provided below is the equivalent of placing my signature on a document.

Mid-State Technical College does not discriminate on the basis of race, color, national origin, sex, disability or age in its program, activity, or employment.

The following person has been designated to handle inquiries regarding the nondiscrimination policies:
Vice President – Human Resources:
500 32nd Street N
Wisconsin Rapids, WI 54494
715.422.5325

AAEO@mstc.edu