I Got Hired

I Am A Student & I Have Been Hired as a Youth Apprentice
Name*

First NameLast Name
Student Email*
example@example.com
Graduation Year*

20262027
High School *
If Other, what is your High School
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Name of Business/Company*
Supervisor Name*

First NameLast Name
Employer Email*
example@example.com
Employer Phone Number*
Please enter a valid phone number.
Work Start Date*

MonthDayYear
Date
Position Hired For*
To help support the scheduling of your related courses and release time for your Youth Apprenticeship, please provide anticipated employment hours during the school year.
Anticipated scheduled hours

Morning hoursAfternoonOther
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

I Am A Student & I Have Been Hired as a Youth Apprentice