SHEBOYGAN AREA

YOUTH APPRENTICESHIP PROGRAM

2017 APPLICATION GUIDELINES

Every student interested in participating in Youth Apprenticeship is required to complete the application, which can be accessed online. Applications must be typed, printed, and submitted to your high school YA liaison by March 3, 2017.

The application must be TYPED and includes the following categories:

  1. Background Information and Time Commitment Forms
  2. Parent or Guardian Information
  3. Parent/Guardian Certification and Release Form(Print to sign)
  4. Employment History
  5. Applicant Program Interest Essay

THE FOLLOWINGDOCUMENTS ARE REQUIRED AS A PART OF THE APPLICATION

1. Two recommendation forms —Pages 7 & 8, teacher/staff put in sealed envelope to be turned in to the high school YA liaison.See form for submission requirements.

One program related high schoolteacher

  • Example: STEM – Science or Tech Ed Teacher, Finance – Business or Math Teacher

One high school staff (non-program related)

  • Example: Guidance Counselor, Non-Program Related Teacher, Coach, Club or Volunteer Supervisor

2. A copy of your high school transcript and attendance record.

Your high school YA liaison will attach these documents when you turn in your application.

THE ELECTRONIC APPLICATION WILL BE AVAILABLE

JANUARY 30, 2017 AT:

Prior to completing the application consider the following: 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?

STUDENT NAME: DATE:

HIGH SCHOOL:

Check the boxesfor the program area for which you are applying:

AGRICULTURE(check one) Plants Animals
FINANCE: (check one) Accounting Banking
HOSPITALITY, LODGING & TOURISM(check one)
Culinary/Restaurant/Food Service
Lodging/Front Office/Housekeeping
Meetings/Events
Maintenance & Grounds
STEM: (check one) Bio Science Lab Mechanical Drafting
MANUFACTURING: (Rate your preferred program area 1-3)
Assembly/Packaging
Industrial Maintenance
Machining
Production Operations/Quality Assurance
Welding
Johnsonville Food Safety and Production (Seniors Only)
TRANSPORTATION (check one)
Auto Technician
Supply Chain Management
Auto Collision
ARCHITECTURE & CONSTRUCTION (check one)
Electrical
Construction
INFO TECHNOLOGY (check one) IT Essentials Web & Digital Media/Graphics

STUDENTS

Return Completed Application And Documents

To Your High School Youth ApprenticeshipLiaison by

March 3, 2017

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.


Sheboygan Area Youth Apprenticeship Application

I. BACKGROUND INFORMATION

Student’s Legal Name

Student’s Preferred Name

Address

City Zip Date of Birth

Phone Cell Phone

E-mail High School

Grade level for 2017-18 (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 1/19/2017

YOUTH APPRENTICESHIP TIME COMMITMENT

(June 2017-May 2018)

I understand that a Youth Apprenticeship requires a time commitment beyond that of a typical high school student. 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 possible.

If selected to participate in the YA Program, I will be asked to provide my employer with specific hours and days that I will be available to work. I understand that timely communication with my employer regarding changes in my personal schedule is required.I understand that I am responsible for arranging my schedule with my employer and my high school.

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/GUARDIAN SIGNATURE ______DATE ______


II. PARENT OR GUARDIAN INFORMATION

Father's NameDaytime Phone

Mother's NameDaytime Phone

Guardian's NameDaytime Phone

Parent/GuardianE-mail address

If parent/guardian address is different than student address, please list the parent address below.

AddressCityZip

Phone

  1. PARENT/GUARDIAN CERTIFICATION AND RELEASE-

PRINT PAGEand 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 thatif 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 (up to 6 credits) 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 textbook(s) and materials, but it is the responsibility of the student to obtain necessary textbook(s) 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.

_____ 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 ______

PARENT/GUARDIAN SIGNATURE ______DATE ______

  1. 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:

  1. Employer's Name Dates of Employment

Address City/ZIP Phone

Work Assignment Supervisor

Student comments about work responsibilities and learning experience:

Revised 1/19/2017

V.APPLICANT PROGRAM INTEREST ESSAY

Please explain why you would like to participate in the Youth Apprenticeship Program. Do not exceed 350 words. Answer the following questions in your essay:

(a) Why are you interested in the Youth Apprenticeship Program?

(b) How do your career interests and past experiences relate to the program area for which you are applying?

(c) How would participating in the YA Program help you reach your career goals?

(d) Why do you think you should be considered for a Youth Apprenticeship?

Program Related High School Instructor

Recommendation Form—PRINT PAGE before completing

Return to High School Youth Apprenticeship Liaison in a sealed envelope with your initials signed on the seal by March 3, 2017 or e-mail to .

Student Name ______Grade ______High School______

Youth Apprenticeship Program Area ______

Please refer to the checklist below to provide an accurate assessment of the applicant in the following areas.

No Basis for
Judgement / Below
Average / Average / Above
Average / 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


High School Personnel

Counselor, Club Advisor, Coach, Non-Program Teacher

Recommendation Form-PRINT PAGE before completing

Return to High School Youth Apprenticeship Liaison in a sealed envelope with your initials signed on the seal by March 3, 2017 or e-mail to .

Student Name Grade ______High School ______

Youth Apprenticeship Program Area ______

Please refer to the checklist below to provide an accurate assessment of the applicant in the following areas

No Basis for
Judgement / Below
Average / Average / Above
Average / 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

Revised 1/19/2017