Identification
Name / Social Security Number
Address / Driver’s License Number
City / State / Zip
Phone / E-Mail
Ethnic Background / Date of Birth
Place of Birth: / City / County / State
In case of emergency, notify:
Name
Address
City / State / Zip
Phone / E-Mail

Educational Background (current high school and college enrollment through dual credit, youth options, course options, etc.)

Level / Name and Address
of School / Program of Study / Degree
(units earned if not graduated) / Dates of Attendance (month, year)
High School
Post-Secondary
Post-Secondary
Post-Secondary

References

Name / Position / Business / Address

City, State ZIP

/ Phone / Relationship

Activities & Interests

/ 7th GRADE / 8th GRADE / 9th GRADE / 10th GRADE / 11th GRADE / 12th GRADE

Awards and Achievements

Activity / 7th / 8th / 9th / 10th / 11th / 12th / Special
Awards & Honors / Leadership Positions
Offices Held


Licenses and Certifications

License/Certification
Issuing Organization
City /

State

/

ZIP

Date Obtained /

Date Expected

License/Certification
Issuing Organization
City /

State

/

ZIP

Date Obtained /

Date Expected


Work Experience

Employer
Name of Business /

Dates of Employment

Month, Year – Month, Year

Street Address

/ Your Job Title
City, State ZIP / Your Responsibilities
Name of Supervisor / Skills
Self-Management, Job-Related, and Transferable Skills Obtained
Position of Supervisor
Employer
Name of Business / Dates of Employment
Month, Year – Month, Year
Street Address / Your Job Title
City, State ZIP / Your Responsibilities
Name of Supervisor / Skills
Self-Management, Job-Related, and Transferable Skills Obtained
Position of Supervisor
Volunteer Experience
Group
Name of Organization / Dates Volunteered
Month, Year – Month, Year
Street Address / Your Volunteer Position
City, State ZIP / Your Responsibilities
Name of Supervisor / Skills
Self-Management, Job-Related, and Transferable Skills Obtained
Position of Supervisor
Group
Name of Organization / Dates Volunteered
Month, Year – Month, Year
Street Address / Your Volunteer Position
City, State ZIP / Your Responsibilities
Name of Supervisor / Skills
Self-Management, Job-Related, and Transferable Skills Obtained
Position of Supervisor


Technical Related Coursework Completed

Program Area:

Courses / Credits / Grade
1)
2)
3)
4)
5)
6)
7)
8)
Total Credits


Plans after high school

I have explored the various options for education and training after high school.

Having examined my career goals and having investigated available career information, my tentative plans are to do the following after school (rank 1st, 2nd, and 3rd options):

enter the work force
attend a 4-year college
attend a trade, technical, or vocational school
other (describe)
join the military service; which branch?
begin an apprenticeship or job-training program
attend a 2-year college

Choose one or more of the boxes below and outline your plan for the transition to your next step in the career development process after graduating from high school

Job-Entry / Military / Post-Secondary Education / Alternative Plan


Work Availability

List the hours (ie. 8:00am – 1:00pm) you plan to be available to work. Youth apprenticeship students typically work 12-15 hours per week.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Total