SHEBOYGAN AREA

YOUTH 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 Forms

II.  Parent or Guardian Information

III.  Parent/Guardian Certification and Release Form

IV.  Employment History

V.  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.

ü  One high school program related teacher—such as for Engineering—a Math or Tech Ed. Teacher, for Health—a Health or Science teacher, etc.

ü  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.

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 by

February 26, 2016

LTC YOUTH APPRENTICESHIP COORDINATOR WILL PICKUP AT HIGH SCHOOL

Deadline: 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.


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 1/22/2016

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 ______


II. PARENT OR GUARDIAN INFORMATION

Father'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 ______

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

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?


Program Related High School Instructor

Recommendation 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 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

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 .


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

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 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

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

Revised 1/5/2016