Apprenticeship Application

HIRED! Apprenticeship Candidate’s Name
Candidate’s Birth Date	Candidate’s Current Age
School grade Candidate is currently attending
9^th 10^th 11^th 12^th
Candidate’s Social Security Number
Candidate’s Mailing Address
Candidate’s E-Mail Address
Candidate’s Home Phone #
Candidate’s Cell Phone #
Apprenticeship Term this Candidate is applying for (circle only one)
1 2 3 4 5 6
If you have participated in the HIRED! Apprenticeship Program before, where did you serve as a HIRED! Apprentice?
Please list any prior work experience
Please list any previous workforce-preparation or secondary-education exploration training
Do you have a disability?
Do you posses a current and valid local background check?

Apprenticeship Application, Page 2

Requested MWR Placement Site

Business Operations

• Bowling Center
• Branded Restaurant
• Community Center
• Community Club
• Cyber Café
• Golf Course
• Guesthouse
• Mini Golf Course
• Rod & Gun Club
• Other _____________________

Child, Youth & School (CYS) Services

• Camp Site
• Central Enrollment Registration Office
• Child Development Center
• CYS Services Satellite Center
• School-Age Center
• Sports & Fitness Complex/Program
• Youth/Teen Center
• Other _____________________

Soldier & Community Recreation

• Aquatic Facility
• Arts & Crafts Center
• Auto Skills Center
• Community Recreation Center
• Entertainment Center
• Horse Stables
• Library
• Marina
• Outdoor Recreation Center
• Sports & Fitness Center
• Tennis Center
• Museums
• Other _____________________

Financial Management

MWR Information, Tickets & Reservations Office

MWR Information Management Office

MWR Marketing Office

Apprenticeship Application, Page 3

Date received by HIRED! Program Coordinator

HIRED! Program Coordinator’s signature

HIRED! Apprenticeship Program Candidate’s Signature, Today’s Date

_________________________________________________

Candidate’s Parent/Legal Guardian’s Signature, Today’s Date