Please complete all sections. This helps us increase quality during the apprenticeship recruitment. Fields marked * are required.
Contact Information
Name of Contact Person*
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Address*
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Worksite location is the same as the address above
Worksite Location*
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About the Position
Starting Hourly Wage ($)* Please enter a number from 16.90 to 100.
Is there Opportunity for Pay Increases?* Please note: An apprenticeship requirement is that the apprentice receives at least one pay increase either during or at the successful completion of the 2,000 hour apprenticeship. Yes No
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If yes, please describe the opportunity for the pay increase* This field is required.
Minimum Age* 16 17 18 Other
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Other minimum age This field is required.
Desired Work Schedule When School is in Session* (10–25 hours/week) Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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Desired Daily Work Schedule* This field is required.
Desired Participant Work Schedule During School Breaks & Summer* (17 year old = up to 48 hrs/week; 18 year old = no cap) Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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Desired Daily Work Schedule (Summer)* This field is required.
Do you Require any Pre-Employment Screening* (Check all that apply) Pre-Employment Drug Screen Pre-Employment Physical Reasonable Suspicion Drug Screen Post-Incident Drug Screen Random Drug Screen None
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For the Interview Process, What do you Prefer* (Check all that apply) Round 1 is an in-person panel interview, hosted at Department of Education, with your business and hiring managers from other participating employers. Round 2 interview is hosted at your business. Round 1 is hosted in-person by staff from your company only, no other businesses present.
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What day of the week is best for in-person interviews for this position* (Check all that apply) Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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Position Description
Primary Duties* (age-appropriate and supervised) This field is required.
Supervision
Supervisor’s Name*
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What experience, knowledge, or benefit will the supervisor bring to the program* This field is required.
Limitations or Requirements
Describe any Limitations or Requirements* (Include PPE, age, uniform, tools, work attire, etc.) This field is required.
Anything Else We Should Know This field is required.
Authorization
Name of Person Submitting this Form*
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Consent* By checking the box below, I confirm that I am an authorized representative of the company listed in this application. Confirm Please check this box to continue.
Date* This field is required.