We Have Hired A Youth Apprentice

HIRED!

We have hired a Youth Apprenticeship Student
Business/Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Name of Person Who Will Sign the Student's Education Training Agreement*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
NAME OF STUDENT HIRED*

First NameLast Name
High School That Student Attends*
To help support scheduling of related courses and release time for the Youth Apprentice, please provide anticipated employment hours during the school year.
Student's Job Title*
School Year Hours*

MorningsAfternoonsAfter School/WeekendsNo PreferenceOther
Mandatory Information Before Start Date*

Drug TestSteel-Toe BootsInternal ApplicationSpecial Clothing NeededNo Mandatory Information RequiredOther
What special clothing is needed
For the section below, if you are not sure of the pathway and program area, please reach out to your YA Coordinator
The student will be hired in the following program area*

Agriculture, Foods, Natural ResourcesArts, AV Tech, Graphic DesignBusiness ManagementConstructionEducationFinanceHealth ScienceHospitalityInformation TechnologyManufacturingMarketingSTEMTransportation, Distribution & Logisitics
Select Pathway*
Agriculture, Foods, Natural Resources

Ag MechanicAnimal Fundamentals (Includes Vet Tech, Dairy Grazier, Animal Herd)ArboristPlant Fundamentals (Includes Crops, Landscaping, Greenhouse)Water Resource
Arts, AV Tech, Graphic Design

Post-PressPre-PressGraphic DesignMedia Broadcast Tech
Business

Human ResourcesAdministrative Assistant
Construction

DraftingCarpentryElectricalGas DistributionHeavy Equipment OperatorHVACMasonryPlumbingUtilities Field Tech
Education

Early Childhood EducationSchool Age Education
Finance

AccountingBankingInsurance
Health Science

Certified Nursing AssistantDental AssistantDietary AideMedical Lab AssistantMedical AssistantMedical ImagingMedical OfficeOptical AssistantPharmacy TechPhlebotomistPhysical Therapy AideResident Aide
Hospitality

Food & BeverageLodgingMeetings & Events
Information Tech

Broadband TechEssentialsNetwork & SecuritySoftware & Application Development
Marketing

CommunicationsMerchandisingProfessional Sales
Manufacturing

Assembly & PackagingElectromechanical/MechatronicIndustrial EquipmentMachiningProcessesProduction OperationsWelding
STEM

Biosciences LabEngineering DraftingMechanical/Electrical EngineeringCivil Engineering
Transportation, Distribution & Logistics

Auto TechAuto CollisionDiesel TechAviation Maintenance FundamentalsSupply Chain Assistant
Start Date*

MonthDayYear
Date
As a youth apprenticeship employer you agree to provide a mentor for the recently hired student and provide feedback on their progress through out the experience. Please indicate who should receive emails regarding these requirements. Please supply the name of the person that should receive progress review forms. *

First NameLast Name
Assigned Mentor's Email*
example@example.com
Comments/Notes
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

HIRED!

For the section below, if you are not sure of the pathway and program area, please reach out to your YA Coordinator