Fillable Youth Apprenticeship Application Packet Checklist Youth Apprenticeship Application (Northcentral Technical College)

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Youth Apprenticeship Application Packet Checklist Youth Apprenticeship Application (Northcentral Technical College)

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page 1
The Youth Apprenticeship (YA) program does not discriminate on the basis of race, color, religion, national origin, ancestry, creed, pregnancy, marital status, parental status, sexual orientation, sex, (including transgender status, change of sex or gender
identity), or physical, mental, emotional, or learning disability (“Protected Classes”) in any of its student programs and activities. Equal Opportunity Officer, Northcentral Technical College, 1000 W. Campus Drive, Wausau, WI 54401. Phone: 715.803.1057
Youth Apprenticeship Application
Youth Apprenticeship Application Packet Checklist
(Incomplete applications will not be forwarded to hiring companies and will delay the application process.)
A complete application packet should consist of the following:
Youth Apprenticeship Application Form – in addition to personal information, this form request information about your
GPA, class rank, and a statement by your local YA coordinator verifying your attendance record during your high
school years.
A cover letter, which should answer the following questions:
a) Why are you interested in the Youth Apprenticeship Program?
b) How do your career interests relate to the apprenticeship program for which you are applying?
c) Why do you think you should be hired as a youth apprentice?
d) What is your long-term career goal?
A resume, which includes:
a) Education (including any courses and/or training you have completed that support your qualifications for the
Youth Apprenticeship Program (for example, CPR certification, CNA certification, etc.)
b) Awards and honors
c) Extracurricular activities (for example, sports, clubs/organizations, community activities)
d) Any employment information
e) Volunteer work/community service
f) Interest and skills
A completed Student Understanding of Youth Apprenticeship
Commitment Form
Three recommendation forms, which should come from:
a) Within a school setting (teacher, coach, school counselor, principal)
b) An individual in the community (business owner, volunteer organization coordinator, job supervisor, etc.)
c) A relative is acceptable only if he or she has supervised you in a paid work setting
A completed Parent Information Certification and Release Form
page 2
Please indicate Youth Apprenticeship progr
am that matches your career interest:
Agriculture Architecture & Finance IT
Farm Construction Banking Helpdesk
Vet Carpentry Accounting Hardware/Networking
Landscape Electrical Insurance Software
Greenhouse Masonry/Concrete Web/Digital Media
Water Resources Mechanical/HVAC
Plumbing/Sprinkler Fitting
Health
Hospitality
Manufacturing
Engineering
Tra
nsportation
Restaurant
(STEM)
Auto Tech
Lodging
Auto Collision
Tourism
Diesel Tech
Logistics
Dental
Medical Assistant
CNA
Pharmacy
Medical Office
Dietary
Physical Therapy
City State ZIP
Email
Student Name
Address
Home Phone Cell
Current Grade Level
Date of Birth
All Youth Apprentices must be 16 years of age or older.
High School
Anticipated High School Graduation year
Current cumulative GPA as of is Rank in class is
_______excused _______unexcused
_______excused _______unexcused
_______excused _______unexcused
Current Cumulative GPA as of Verification of GPA and Attendance – to be completed by School-Based Youth
Apprenticeship Coordinator
Number of days missed during freshman year:
Number of days missed during sophomore year:
Number of days missed during junior year, if applicable:
Youth Apprenticeship Coordinator Signature
Date
Arts
Professional Sales
Merchandising
Communication
Research/Competitive Intelligence
Management/Leadership
Graphic Design & Pre-Press
Press and Post-Press Op.
Assembly & Packaging
Manufacturing Processes
Machining
Welding
Production Op Management
Maintenance, Installation and Repair
Eng
ineering Drafting
Mechanica/Electrical Eng.
Civil Engineering
Bioscience
Marketing
Architectural Drafting
Architectural Planning
page 3
STUDENT UNDERSTANDING OF
YOUTH APPRENTICESHIP
TIME COMMITMENT
I understand that a Youth Apprenticeship requires a time commitment beyond that of a typical high school student. I will be asked
to provide my work site with specific hours and days that I will be available to work. I understand that timely communication with
my work site mentor regarding unplanned changes in my personal schedule is extremely important.
Below is a list of the other extracurricular activities (sports, musical, band, etc.) in which I plan to participate as well as a summarized
timeline for each activity. I am providing as much information as I have available and being as specific, regarding activities and timelines,
as I possibly can at this time.
Sport or Activity
General Timeframe (months)
Expected Time of Day/Hours for Practice
and/or Competition
Example: Football
August through November
Practice every day from 3-7pm, game every Friday
Example: Musical
February through April
Rehearsal MWF from 5-9 pm,
performances on Thursday through Sunday, April 6-9
Summer Vacations or Obligations Planned:
Example: I am going on a family vacation from July 1-8 and am attending basketball camp from August 10-16
A Youth Apprentice must complete 450 total work hours during the year, which usually includes summer work scheduling. This means that
a typical Youth Apprentice averages 10-12 hours per week to their job during the school year, and often more time during the summer.
As a Youth Apprentice, I agree to:
• Maintain the academic and attendance requirements required by the Youth Apprenticeship Partnership, my school, and my work site;
• Observe company and school rules and other requirements identified by the employer; and
• Participate in progress reviews scheduled with mentors, school personnel and parent(s) or guardian(s).
Student Signature Date
Parent Signature Date
page 4
STUDENT RECOMMENDATION FORM
To Accompany Youth Apprenticeship Application
Student Name_______________________________________ Grade___ ____
The student named above is applying for a/an Youth Apprenticeship Program.
The following checklist is provided for those who know this student well enough to provide an accurate assessment of him/her. We hope
that it will provide a convenient method to describe the candidate in summary fashion. If you are a relative of this student, please do not
complete a recommendation unless you have observed/supervised the student in a paid work setting.
NO BASIS FOR
JUDGMENT
BELOW
AVERAGE
AVERAGE
EXCELLENT (TOP
10%)
Academic Performance/
Quality of Work
Responsibility
Attitude
Effort
Honesty
Dependability
Teamwork/Cooperation
Problem Solving
Attendance
Would you hire
this student to work for you? Yes No Maybe
Please provide specific examples of outstanding performance by this student applicant. Other comments that indicate your
estimation of this student’s qualifications for this program would be appreciated.
Position/Subject Taught or
Date
Organization/Business Represented
Name
Relationship to Applicant
Signature
PLEASE RETURN TO:
page 4
STUDENT RECOMMENDATION FORM
To Accompany Youth Apprenticeship Application
Student Name_______________________________________ Grade___ ____
The student named above is applying for a/an Youth Apprenticeship Program.
The following checklist is provided for those who know this student well enough to provide an accurate assessment of him/her. We hope
that it will provide a convenient method to describe the candidate in summary fashion. If you are a relative of this student, please do not
complete a recommendation unless you have observed/supervised the student in a paid work setting.
NO BASIS FOR
JUDGMENT
BELOW
AVERAGE
AVERAGE
EXCELLENT (TOP
10%)
Academic Performance/
Quality of Work
Responsibility
Attitude
Effort
Honesty
Dependability
Teamwork/Cooperation
Problem Solving
Attendance
Would you hir
e this student to work for you? Yes No Maybe
Please provide specific examples of outstanding performance by this student applicant. Other comments that indicate your
estimation of this student’s qualifications for this program would be appreciated.
Position/Subject Taught or
Date
Organization/Business Represented
Name
Relationship to Applicant
Signature
PLEASE RETURN TO:
page 4
STUDENT RECOMMENDATION FORM
To Accompany Youth Apprenticeship Application
Student Name_______________________________________ Grade___ ____
The student named above is applying for a/an Youth Apprenticeship Program.
The following checklist is provided for those who know this student well enough to provide an accurate assessment of him/her. We hope
that it will provide a convenient method to describe the candidate in summary fashion. If you are a relative of this student, please do not
complete a recommendation unless you have observed/supervised the student in a paid work setting.
NO BASIS FOR
JUDGMENT
BELOW
AVERAGE
AVERAGE
EXCELLENT (TOP
10%)
Academic Performance/
Quality of Work
Responsibility
Attitude
Effort
Honesty
Dependability
Teamwork/Cooperation
Problem Solving
Attendance
Would you hir
e this student to work for you? Yes No Maybe
Please provide specific examples of outstanding performance by this student applicant. Other comments that indicate your
estimation of this student’s qualifications for this program would be appreciated.
Position/Subject Taught or
Date
Organization/Business Represented
Name
Relationship to Applicant
Signature
PLEASE RETURN TO:
page 5
PARENT INFORMATION CERTIFICATION AND RELEASE FORM
To Accompany Youth Apprenticeship Program Application
Student’s Name
I. PARENT
INFORMATION (Please have the following information completed by one of the below individuals)
Father’s name Daytime Phone
Mother’s name Daytime Phone
Guardian’s name Daytime Phone
Name and address of person with whom student resides
Parent’s address, if different than student’s address
II. PARENT CERTIFICATION AND RELEASE
Initial_____ I certify that the facts contained in this application are true and complete to the best of my knowledge and understand
that, if my student is selected for the Youth Apprenticeship Program, falsified statements may be grounds for removal.
Initial______ I authorize investigation of all statements contained herein and the references listed in this application and all
information concerning previous employers, and release all parties from liability for any damage that may result from
furnishing those to you.
Initial______ I understand that all tuition/fees/textbook costs for any college coursework at NTC not covered by the school district or
work site but required for my child during his/her youth apprenticeship program will be my family’s responsibility.
Initial______ I understand that, any time the work site agrees to pay for costs related to a required college course, it is with the
understanding that my child passed the course and any certification testing required for working in the specific industry.
Otherwise, the related costs will be my family’s responsibility.
Initial_______ I understand that a parent or guardian must attend, along with my child, any orientation session that may be required
for the Youth Apprenticeship program for which my child wishes to apply.
Initial______ I authorize the release of transcripts of grades and attendance record.
Initial______ I authorize the Youth Apprenticeship Coordinator the use of written or oral testimonials and photographs and/or
videotapes with my child’s image in Youth Apprenticeship and NTC publications and/or news releases.
Initial______ I understand that I am solely responsible for the transportation of the undersigned student to and/or from the classroom
or the work site and for all loss involved in said transportation.
Initial______ I certify that the student has a valid driver’s license and adequate car insurance (necessary only in those cases where
student will be driving to work site.)
Student Signature Date
Parent/Guardian Signature Date
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Youth Apprenticeship Application Packet Checklist Youth Apprenticeship Application (Northcentral Technical College)

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Completed 10 October 2020

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