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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:

_____________________________________________________________________