2019-20 INSPIRE Youth Co-op Application Form
for SPECIFIC information about the hours for each company as well as the co-op description.
Student Full Name
What High School do you attend?
Cedar Grove-Belgium High School
Central High School
Elkhart Lake-Glenbuelah High School
The Etude School
George Warriner High School
Howards Grove High School
Kiel High School
Kohler High School
Northern Ozaukee High School
Oostburg High School
Plymouth High School
Port Washington High School
Random Lake High School
Sheboygan Falls High School
Sheboygan North High School
Sheboygan South High School
Student Email Address
Student Home Address
Student Phone Number
Preferred method of contact
Email (listed above)
Phone Call (number listed above)
Text (number listed above)
Current Grade Level (2019/20)
What Quarter(s) are you interested in applying for this Youth Co-op experience?
What hours are you available during the week to work? (*Note: Most positions require 2 hours/day + TRAVEL TIME to and from the workplace.)
Do you require a semester long placement due to your school schedule?
Company You Are Applying To
Curt G Joa, Inc. (3rd + 4th quarter only)
Kohler Power Systems
Kohler Skilled Trades/Maintenance
Kohler Waste Lab
Krier Foods (3rd + 4th quarter only)
Landmark Landscape (4th Quarter Only)
Meadowland Credit Union
Old Wisconsin (3rd + 4th Quarter Only)
RAM Tool Inc.
Richardson Hospice Resale Store
Saco Polymers (3rd + 4th quarter only)
Sargento (Plymouth Facility)
Sargento (Kiel Facility)
Sheboygan Senior Community
Sunny Ridge Rehabilitation and Nursing
The Sewing Machine Shop (18 week placement)
Van Horn Automotive
What are your top 3 employer choices?
How do you view your record as a student?
What classes are you enrolled in for the 2019-2020 school year related to the jobs you are applying to?
What career are you currently most interested in exploring or pursuing?
Why are you applying for the Youth Co-op Program?
Have you participated in Youth Co-op before?
If so, please list the company or companies
Are your parents supportive of you participating in Youth Co-op?
If no, please explain
Who is your current employer (if applicable)?
What is your current job title (if applicable)?
How many months have you been working for this current employer (if applicable)?
Who was your previous employer (if applicable)?
What was your previous job title (if applicable)?
How many months were you working for this previous employer (if applicable)?
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