Le Mars Community High School

P a g e | 52 Le Mars Community High School APPLICATION FORM APPRENTICE & INTERNSHIP Name: ________________________________________________________________ Address: ______________________________________________________________ Phone: _______________________________________________________________ Credits attained: __________________ Credits needed: __________________ Birthday: ________________________ Age: ___________________________ To qualify for Apprenticeship or Internship you will need to demonstrate that you have satisfactorily completed two years of training in a specific career field. Below please list the classes that you have taken in a specific career field. Also list any work experience that might further demonstrate your ability in a specific career area. Career Area : __________________________________________________________ Classes taken Year in school Grade _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ___________________________________________________________________________________ Work Experience: Employer Tasks performed _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Future job interest: _____________________________________________________________________ Parent/Guardian Signature: _____________________________________________________________________ Student Signature: _____________________________________________________________________

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