*SUMMER* 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? *
Preferred Email Address *
Your answer
Student Mailing Address *
Your answer
Student Phone Number *
Your answer
What is your preferred method of communication?
Last grade completed (2017-18) *
Check times of day you are available (Select all that apply) *
Required
Age *
Required
Student Birthdate *
MM
/
DD
/
YYYY
Gender *
Company You Are Applying To *
Required
What is your top employer choice? *
Your answer
Have you participated in the co-op program before? *
If so, where? (List all companies you were placed at)
Your answer
How Do You View Your Record As A Student? *
What classes did you take in the last year that relate to the co-op you are applying for?
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
Are your parents supportive of you participating in the 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
Submit
Never submit passwords through Google Forms.
This form was created inside of INSPIRE Sheboygan County. Report Abuse - Terms of Service - Additional Terms