School Entrance Requirements for the Youth Apprenticeship Program

Transcription

1 Manitowoc County Public Schools Youth Apprenticeship Application Applicant Name: High School: Check the box of the program for which you are applying: AUTOMOTIVE COLLISION One/Two-Year Program AUTOMOTIVE TECHNICIAN Two-Year Program (must have valid drivers license) DRAFTING AND DESIGN One/Two-Year Program FINANCIAL SERVICES One/Two-Year Program HEALTH SERVICES/CERTIFIED NURSING ASSISTANT One/Two-Year Program HEALTH SERVICES/PHARMACY TECH One-Year Program INDUSTRIAL EQUIPMENT TECHNOLOGY One/Two-Year Program INFORMATION TECHNOLOGY One/Two Year Program HOSPITALITY, LODGING & TOURISM One/Two-Year Program MANUFACTURING MACHINING One/Two-Year Program MANUFACTURING WOOD One/Two-Year Program PRODUCTION AGRICULTURE/ ANIMAL OR PLANT SCIENCE One-Year Program PRODUCTION AGRICULTURE/ VET TECH- One/Two-Year Program WELDING One/Two-Year Program Parent/Student Information Meeting at Lincoln High School on February 13, 2012, 7:00 p.m. Health applicants are required to complete a two-hour verified job shadow before the interview process. Contact your School Liaison. For additional information, contact your school liaison, school counselor, or Kari Krull at x 6161, krullk@mpsd.k12.wi.us. RETURN COMPLETED APPLICATION TO YOUR SCHOOL-TO-WORK LIAISON DEADLINE: MARCH 6th, 2012 No individual shall be excluded from participation in, denied the benefits of, subjected to discrimination in connection with any youth apprenticeship program on the basis of race, color, religion, sex, national origin, age, handicap, political affiliation or belief, or sexual orientation

2 I. Background Information Answer all questions, please print or type. Student (First, Middle, Last) Address (Street or P.O. Box) City, State Zip Telephone Date of Birth Address Driver s License Number or Anticipated date of getting license High School Grade Parent or Guardian Address (if different than above) City, State Zip Telephone II. Certification I verify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if selected for the Youth Apprenticeship Program, falsified statements may be grounds for removal. I verify that I have a good driving record and no felony convictions. I authorize the school to release my transcripts, attendance and reference forms to the Youth Apprenticeship Selection Committee. I authorize investigation of all statements contained herein. I release all parties from liability for any damage that may result from furnishing information. Students and/or parents need to provide transportation Extra-curricular activities may conflict with Youth Apprenticeship Program requirements. Contact high school liaison to discuss options. Student Signature Date Parent Signature Date 2

3 III. Relevant Information/Activities A. Please list your school activities, community service activities, offices, awards, etc. B. Please list any courses or training you have completed that will aid us in evaluating your qualifications for the Youth Apprenticeship program. IV. List Current/Previous Employment: Business Name: Dates of Employment: Supervisor Phone Address City/Zip Job Title/Duties V. Applicant Statement Explain why you are interested in Youth Apprenticeship and how it will assist you in achieving your career goal. List the qualifications that would make you a good candidate for the Youth Apprenticeship program. Word process your statement (one page, double spaced) on a separate paper. VI. Reference Forms 2 Recommendation Forms 1 Personal Reference Form 3

4 Recommendation Form (Please return to applicant or School-to-Work Liaison by March 6) Student Name Grade School Academic Performance/ Quality of Work Responsibility Below Above Excellent (Top 10%) Attitude Effort Honesty Dependability Teamwork/Cooperation Problem Solving Attendance Please provide additional comments regarding this student s qualifications. Signature Printed Name Date Position/Subject Taught Recommendation form may be filled out by: A. Counselor B. Teacher C. Principal Health Students must have one math and one science teacher recommendation. 4

5 Recommendation Form (Please return to applicant or School-to-Work Liaison by March 6) Student Name Grade School Academic Performance/ Quality of Work Responsibility Below Above Excellent (Top 10%) Attitude Effort Honesty Dependability Teamwork/Cooperation Problem Solving Attendance Please provide additional comments regarding this student s qualifications. Signature Printed Name Date Position/Subject Taught Recommendation form may be filled out by: B. Counselor B. Teacher C. Principal Health Students must have one math and one science teacher recommendation. 5

6 Personal Reference Form (Please return to applicant or School-to-Work Liaison by March 6) The Personal Reference may be a volunteer supervisor, employer, coach, advisor, etc. (no relatives) This should be filled out by someone who knows the student outside the classroom setting. Student Name Date 1 Unsatisfactory Performance 2 Performance 3 Above Performance SKILLS Comments Ability to Follow Instructions Accuracy in Work Time Efficiency Quality of Work Knowledge of Job ATTITUDES Ability to Work with Others Initiative/Works Without Supervision Accepts Responsibility Accepts Constructive Criticism Follows Established Protocols Observes Safety Rules PERSONALITY Grooming Rapport with Others Self-confidence Takes Pride in Work Dependability ATTENDANCE Worked Assigned Hours Punctuality Please provide additional comments regarding this student s qualifications. Signature Printed Name Relationship to Applicant Address Phone Number Dates of Contact 6