SHEBOYGAN AREAYOUTH APPRENTICESHIP PROGRAM

2016 GENERAL APPLICATION GUIDELINES

Have you discussed the commitment of an apprenticeship with your parents/guardians? Do you understand that applying for an apprenticeship does not guarantee an interview? If hired, will you be able to work before, during or after school? How about weekends, holidays and over the summer?

Every student interested in participating in Youth Apprenticeship will be required to complete the application process. All applications must be TYPED. The application includes the following:

I. Background Information and Time Commitment FormsII. Parent or Guardian InformationIII. Parent/Guardian Certification and Release FormIV. Employment HistoryV. Applicant Program Interest Essay

THE LINK TO COMPLETE THE ELECTRONIC APPLICATION CAN BE FOUND AFTER FEBRUARY 9, 2016 AT:

http://www.gotoltc.com/future-students/high-school/YA/apply/index.html

YOU MUST SUBMIT THE FOLLOWING DOCUMENTS WITH THIS APPLICATION

1. A copy of your high school transcript.2. A copy of your high school attendance record for the current year.3. Two recommendations are required—teacher/staff put in sealed envelope which will be

turned in to the high school YA liaison. One high school program related teacher—such as for Engineering—a Math or Tech Ed.

Teacher, for Health—a Health or Science teacher, etc. One high school staff (non-program related)—such as a guidance counselor, non-program

related teacher, coach, club or supervisor for volunteer work-- Please see forms for submission requirements.

Revised 1/22/2016

STUDENT NAME:       DATE:       HIGH SCHOOL:      

Check the boxes for the program area for which you are applying:      AGRICULTURE (check one) Plants       Animals      

      ARTS/AV TECH/COMMUNICATIONS Pre-Press      

      FINANCE: (check one) Accounting       Banking      

     

HOSPITALITY, LODGING & TOURISM (check one)Culinary/Restaurant/Food Service      Lodging/Front Office/Housekeeping      

      STEM: (check one) Bio Science Lab       Mechanical Design      

     

MANUFACTURING: (indicate your choice of program- 1 being the highest , 3 being the lowest)Assembly/Packaging      Industrial Maintenance      Machining      Johnsonville Food Production (Seniors Only)     Production Operations(Quality Assurance)      Welding      

      TRANSPORTATION (check one) Auto Technician       Supply Chain Management      

     ARCHITECTURE & CONSTRUCTION (check one) Architectural Design       Electrical       Construction      

      INFO TECHNOLOGY (check one) IT Essentials       Web & Digital Media      

STUDENTS RETURN COMPLETED APPLICATION AND DOCUMENTS

TO YOUR HIGH SCHOOL YOUTH APPRENTICESHIP LIAISON BYFEBRUARY 26, 2016

LTC YOUTH APPRENTICESHIP COORDINATOR WILL PICKUP AT HIGH SCHOOLDEADLINE: March 3, 2016

No individual shall be excluded from participation in, denied the benefits of, subjected to discrimination under, or denied employment in the administration of or in connection with any Wisconsin Youth Apprenticeship Program on the basis of race, color, religion, sex, national origin, age, handicap, political affiliation or belief, or sexual orientation. Revised 1/22/2016

Sheboygan Area Youth Apprenticeship2016 GENERAL APPLICATION FORM (click in the grey boxes only)

Revised 1/22/2016

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Sheboygan Area Youth Apprenticeship Application

I. BACKGROUND INFORMATION

Student Name      

Address      

City       Zip       Date of Birth      

Phone       Cell Phone      

High School      E-mail      

Grade level for 2016-17 (check one)       Junior       Senior

Please list your high school activities, community service activities, honors received, and offices held.     

Please list any courses, training or experiences you have completed that will enhance your qualifications for the Wisconsin Youth Apprenticeship Program.     

Please comment on your high school attendance record for the current year if any clarification is needed.     

Revised 1/22/20162

YOUTH APPRENTICESHIP TIME COMMITMENT(June 2016 - May 2017)

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 changes in my personal schedule is extremely important.

Below is a list of the other extracurricular activities (sports, musicals, band, vacations etc. in which I currently 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 as I possibly can at this time.

ACTIVITY PLANNED GENERAL TIMEFRAME (MONTHS)

EXPECTED TIME OF DAY/HOURS

Example: Football August through November Practice M-Th from 3-7pm, game every Friday

                 

                 

                 

                 

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 dedicates an average of 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 enforced by the Youth Apprenticeship

Partnership, my school and my work site. Observe company and school rules and other requirements identified by the employer. Participate in progress reviews scheduled with mentors, school personnel and

parents/guardians. Understand that if I am hired by an employer, any request I make to switch or transfer places

of employment will not be honored or fulfilled by the YA program unless warranted and mutually agreed upon by all affected parties.

STUDENT SIGNATURE _________________________________ DATE _____________________

PARENT SIGNATURE __________________________________ DATE _____________________

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II. PARENT OR GUARDIAN INFORMATIONFather's Name       Daytime Phone      

Mother's Name c Daytime Phone      

Guardian's Name       Daytime Phone      

Parent E-mail address      

If parent address is different than student address, please list the parent address below.Address       City       Zip      Phone      

III. PARENT/GUARDIAN CERTIFICATION AND RELEASE-PRINT PAGE and have Parent/guardian initial before each statement, student and parent/guardian sign below.

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.

_____ I certify that my student has a clean driving record and no felony convictions.

_____ I understand that if hired in the Finance program area, the student will be bonded and may be asked about any criminal background.

_____ 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.

_____ I understand that LTC tuition fees required for related courses will be paid for through the Youth Apprenticeship grant if my student earns a grade of C or higher, and if a grade below C level is received then all costs will be the responsibility of the student’s family.

_____ I understand that the student must consult the high school liaison on payment for needed textbooks, but it is the responsibility of the student to obtain necessary text book prior to the start of the LTC class

_____ I understand that a parent/guardian must attend, along with my student, any orientation session and grading conferences that are required for the Youth Apprenticeship Program for which my child wishes to apply.

_____ I authorize the release of transcripts of grades and attendance records.

_____ 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.

_____ I certify that the student has a valid driver’s license and adequate car insurance (necessary only in those cases where the student will be driving to classroom or work site).

STUDENT SIGNATURE ________________________________ DATE ____________________

Revised 1/5/2016

PARENT SIGNATURE _________________________________ DATE ____________________

IV. EMPLOYMENT HISTORY- please list previous employment:

1. Employer's Name       Dates of Employment      

Address       City/ZIP       Phone      

Work Assignment       Supervisor      

Student comments about work responsibilities and learning experience:      

2. Employer's Name       Dates of Employment      

Address       City/ZIP       Phone      

Work Assignment      Supervisor      

Student comments about work responsibilities and learning experience:      

Revised 1/5/2016

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V. APPLICANT PROGRAM INTEREST ESSAY

In a typewritten or word processed format, please explain why you feel you should be selected for the Youth Apprenticeship Program. Do not exceed 250 words. Please include answers to the following questions:

(a) Why are you interested in the Youth Apprenticeship Program? (b) How do your career interests relate to the program area for which you are applying?(c) Why do you think you should be considered as an apprentice?(d) What is your long-term career goal?

     

Revised 1/5/2016 6

Program Related High School InstructorRecommendation Form—PRINT PAGE before completing

Return to High School Youth Apprenticeship Liaison in a sealed envelope

Student Name ____________________________ Grade ______ High School________________ Please refer to the checklist below to provide an accurate assessment of the applicant in the following areas.

No Basis forJudgement

BelowAverage Average

AboveAverage

Excellent(top 10%)

Academic Performance/Quality of Work

Responsibility

Attitude

Effort

Honesty

Dependability

Teamwork/Cooperation

Problem Solving

Leadership

Attendance

Please provide additional comments on the student's qualifications for this program.

____________________________________ _______________________________________ PRINTED NAME OF REFERENCE PERSON POSITION/SUBJECT TAUGHT

______________________________________________________ _________________ SIGNATURE DATE

Return to High School Youth Apprenticeship Liaison in a sealed envelope with your initials signed on the seal by February 26, 2016 or e-mail to Jackie.holly@gotoltc.edu.

Revised 1/5/2016

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High School PersonnelCounselor, Club Advisor, Coach, Non-Program Teacher

Recommendation Form-PRINT PAGE before completingReturn to High School Youth Apprenticeship Liaison in a sealed envelope

Student Name Grade ________ High School _____________________Please refer to the checklist below to provide an accurate assessment of the applicant in the following areas

No Basis forJudgement

BelowAverage Average

AboveAverage

Excellent(top 10%)

Academic Performance/Quality of Work

Responsibility

Attitude

Effort

Honesty

Dependability

Teamwork/Cooperation

Problem Solving

Leadership

Attendance

Please provide additional comments on the student's qualifications for this program.

____________________________________ ________________________________________ PRINTED NAME OF REFERENCE PERSON POSITION

____________________________________ ______________________SIGNATURE DATE

Return to High School Youth Apprenticeship Liaison in a sealed envelope with your initials signed on the seal by February 26, 2016 or e-mail to Jackie.holly@gotoltc.edu

Revised 1/5/20168