CareerWise Fall 2021 Student Interest Survey
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Email *
First Name *
Last Name *
Cell Phone Number *
Do you currently have reliable internet at home? *
Preferred Email Address *
Which high school do you currently attend? Please spell out your high school name! Do not abbreviate it. *
What grade are you currently in? *
What career pathway are you interested in? Select as many pathways that interest you! *
Parent Information
We would like to invite your parents to CareerWise information nights and provide them information on the program. Please provide us their information below.
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email Address
What race(s) do you identify with? (optional)
If your race was not listed, please write it here. (optional)
What gender do you identify with? (optional)
Thank you for your interest in the Apprenticeship Program! Please click SUBMIT. You will be contacted by one of our staff to learn about next steps.
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