2018-19 INSPIRE Youth Co-op Application Form

Please visit http://inspiresheboygancounty.org/participating-companies/ for SPECIFIC information about the hours for each company as well as the co-op description.
Student Full Name *
Your answer
What High School do you attend? *
Student Email Address *
Your answer
Student Mailing Address *
Your answer
Student Phone Number *
Your answer
Preferred method of contact *
Required
Current Grade Level (2018/2019) *
What Quarter(s) are you interested in applying for this Co-Op experience? *
Required
What hours are you available during the week to work? (*Note: Most positions require 2 hours/day + TRAVEL TIME to and from the workplace.)
Your answer
Age *
Required
Student Birthdate *
MM
/
DD
/
YYYY
Gender *
Company You Are Applying To *
Required
What are your top 3 employer choices? *
Your answer
How Do You View Your Record As A Student? *
What classes are you enrolled in for the 2018-2019 school year related to the jobs you are applying to?
Your answer
What career are you currently most interested in exploring or pursuing? *
Your answer
Why are you applying for the Co-Op Program? *
Your answer
Have you participated in co-op before? *
If so, please list the company or companies
Your answer
Are your parents supportive of you participating in co-op? *
If no, please explain
Your answer
Work History
Who is your current employer (if applicable)?
Your answer
What is your current job title (if applicable)?
Your answer
How many months have you been working for this current employer (if applicable)?
Your answer
Who was your previous employer (if applicable)?
Your answer
What was your previous job title (if applicable)?
Your answer
How many months were you working for this previous employer (if applicable)?
Your answer
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