Name *

School Gmail *

Birthdate *

Students Cell Number

Street Address *

Zip Code *

Parent/Guardians Name *

Parent/Guardians Cell Number

Do you have working papers? *

Do you have an ID? *

Do you have a resume? *

Are you currently employed? *

If yes, where do you work?

Have you ever been employed? *

If yes, where did you work?

Do you have any issues with lateness and attendance at school? *

Did you ever fail conduct at P.E. & T.? *

Mark your best characteristic. *

You should say "hello" when you first meet someone. *

Is it difficult for you to stay focused when you have a lot going on. *

You break rules when they do not make sense. *

You would rather focus on one single task than try to do too much at once. *

You are good at juggling more than one thing at the same time. *

You are... *

You are... *

You are... *

You are working at a convenience store. You have already worked an extra 30 minutes past your normal hours and you are finally getting ready to go home. On your way out, you see a customer who looks confused. Which of the following would you most likely do? *

What are your plans after high school? *

What job would you like to do after you graduate high school or college? *

Describe a situation in school where you worked as part of a team. *

Describe a time when you volunteered to help someone or some organization. *

List a few skills that you have. *

Are you interested in joining the Electricians Union after graduation? *

Would you be interested in building a boat? *

Would you be interested in taking an English or Math class at CCP? *

If so, which one?

Why would you be a good candidate for the Philadelphia E & T Co-Op program? (Answer must be at least one paragraph and at least 5 sentences) *