Summer/1st Quarter 2019 Youth Co-op Application
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?
Sheboygan North High School
Sheboygan South High School
Howards Grove High School
Elkhart Lake-Glenbuelah High School
Plymouth High School
Random Lake High School
Oostburg High School
Cedar Grove-Belgium High School
Sheboygan Falls High School
Kohler High School
George Warriner High School
Central High School
The Etude School
Kiel High School
Northern Ozaukee High School
Student Email Address
Student Mailing Address
Student Phone Number
Preferred method of contact
Email (listed above)
Phone Call (number listed above)
Text (texting will be used by companies and through remind texting service for notifications)
Current Grade Level (2018/2019)
What Quarter(s) are you interested in applying for this Co-Op experience?
1st Quarter 2019-20 School Year
What hours are you available during the week to work? (*Note: Most positions require 2 hours/day + TRAVEL TIME to and from the workplace.)
Company You Are Applying To (Select as many as you like)
Kohler Power Systems (Summer)
Kohler Skilled Trades (Summer)
Richardson Industries (Summer)
Sheboygan Senior Community (Summer)
Sunny Ridge Rehabilitation Center (Summer)
Johnsonville (1st Quarter)
Kohler Engines (1st Quarter)
Kohler Skilled Trades (1st Quarter)
RAM Tool (1st Quarter)
Richardson Industries (1st Quarter)
Rockline (1st Quarter)
Sargento (1st Quarter)
Sheboygan Senior Community (1st Quarter)
Sunny Ridge Rehabilitation Center (1st Quarter)
What are your top 3 employer choices?
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?
What career are you currently most interested in exploring or pursuing?
Why are you applying for the Co-Op Program?
Have you participated in co-op before?
If so, please list the company or companies
Are your parents supportive of you participating in 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)?
Never submit passwords through Google Forms.
This form was created inside of INSPIRE Sheboygan County.
Terms of Service