CareerWise Elkhart County Modern Youth Apprentices Survey
Please fill out the contact information below so we know the best to contact you and get the information you need to become an apprentice.  Please be sure to go the The HUB for your next steps.
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First Name *
Last Name *
School *
Current Grade *
Best Email to reach you at *
Phone number
Parent/Guardian First and Last Name *
Parent Email and/or Phone Number *
What is the best way to contact you? *
What are some Career Pathways you might be interested in?  Please select ALL that you are interested in.   *
Required
Please select at what level you have interest in a CWEC modern youth apprenticeship. *
By filling out the information above, I agree to let Horizon Education Alliance contact me through the options given.   *
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