Youth Apprenticeship Post-Program & Feedback
2024-25
Student Name
*
First Name
Last Name
Email
*
example@example.com
School
*
Appleton East
Appleton North
Appleton Technical Academy
Appleton Tesla Engineering Charter
Appleton Valley New School
Appleton West
Beaver Dam
Berlin
Brillion
Campbellsport
Cedar Grove Belgium
Central WI Christian
Chilton
Denmark
Denmark Viking Academy
Dodgeland
Dominican
Elkhart Lake
Fond du Lac
Fond du Lac Christian
Fox Valley Lutheran
Freedom
Germantown
George D Warriner
Green Lake
Hilbert
Homeschool
Horicon
Hortonville
Howards Grove
Hustisford
Kaukauna
Kettle Moraine Lutheran
Kewaskum
Kiel
Kimberly
Kingdom Prep
KTEC
Lake Country Lutheran
Little Chute
Living Word
Lomira
Manawa
Manitowoc Lincoln
Manitowoc GEDO 2
Manitowoc McKinley
Manitowoc Lutheran
Markesan
Martin Luther
Mayville
Menasha
N.E.W. Lutheran
Neenah
New Holstein
New London
NFDL
Oakfield
Omro
Oneida Nation
Oostburg
Oshkosh - North
Oshkosh - West
Pius
Princeton
Random Lake
Reedsville
Ripon
Roncalli
Rosendale-Brandon (Laconia)
Seymour
Sheboygan Central
Sheboygan Christian
Sheboygan Étude
Sheboygan Falls
Sheboygan Lutheran
Sheboygan North
Sheboygan South
Sheboygan Warriner
Shoreland Lutheran
Slinger
St Mary's FDL
St. Mary Neenah
Stockbridge
Two Rivers
Valders
Valley Christian
Waupaca
Waupun
West Bend East
West Bend West
Weyauwega-Freemont
Winnebago Lutheran
Winneconne
Xavier
Year-To-Date GPA
*
Current Grade in School
*
11
12
Hours Worked (June 2023-through current date)
*
11th Grade Information
Will you be continuing with YA for your senior year?
*
YES
NO
Have my Coordinator contact me about my plans to continue
My Employer is:
Current Wage
Do you have related coursework scheduled for your YA?
*
YES
NO
Have my Coordinator contact me about my class schedule for my senior year
12th Grade - Post Program Information
Will you be attending any post-secondary education (Tech, 4-year, 2-year)
*
Yes
No
Other
Plans after YA Completion (Check all that apply)
*
The Student is employed with their YA Employer
The Student is employed in the same industry in which they trained
The Student is entering a Registered Apprenticeship
The Student did not apply for further employment
The Student was offered employment, but did not accept
The Student would have been offered employment, but a position was not available
The Student is entering post-secondary education
The Student is entering the military
NPS
How satisfied were you with the support you received from your YA Coordinator?
*
1
2
3
4
5
Not Satisfied
Very Satisfied
1 is Not Satisfied, 5 is Very Satisfied
Additional Feedback
How likely would you be to recommend your YA employer as a worksite for future YA students?
*
1
2
3
4
5
Not Likely
Very Likely
1 is Not Likely, 5 is Very Likely
Additional Feedback
How likely are you to recommend Youth Apprenticeship Program to other students?
*
1
2
3
4
5
Not Likely
Very Likely
1 is Not Likely , 5 is Very Likely
Additional Feedback
To receive your YA Digital Certificate, we need to have your personal email address not school email.
*
example@example.com
We’d love to hear about your experience in the Youth Apprenticeship program! We invite you to share a testimonial about what inspired you to join the program, and how the program has impacted you or helped you prepare for your future.
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*
Date
*
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-
Day
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Date
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