Ride and Decide Student Application
This application is for ages 18 and over only if turning 18 as of May 1, 2020.

If you are under 18, please complete the paper application on the website at www.rideanddecide.com and have a parent sign the release form. Return the form by fax - 865-531-7045, email - taphccoffice@bellsouth.net or mail - 9041 Executive Park Dr. Ste 220, Knoxville, TN 37923
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone Number *
Your answer
Age as of May 1st *
Your answer
GPA *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Name Cell Phone *
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Name Cell Phone
Your answer
Parent/Guardian Email Address
Your answer
High School *
Your answer
Last Full Year of High School *
Tell us why you are interested in the program *
Your answer
Do you have a scheduled vacation/sports camp/missionary trip for the summer of 2020? *
If yes, what are the dates of your trip?
Your answer
Who recommended you to the program? *
Your answer
Are you currently or have you taken a CTE class? *
If yes, what classes?
Your answer
Have you attended a safety training program at school? *
What is the distance you are willing to travel for work (in miles)? *
How will you be getting to work? *
Please check the months you will be able to work. *
Required
Which fields are you interested? *
Required
If you participated in the program in 2019, would you like to work with the same employer?
To be eligible all of the following must apply: (please check each that apply)
Be at least 16 years of age before starting the program *
Completed at least your sophomore year of high school and have at least a C average with excellent school attendance *
Be recommended to the program by a teacher, counselor or PHCC member in writing *
Adhere strictly to the attendance and employment regulations required by the employer *
Please type your name below. This will act as your signature stating that all information is true. *
Your answer
Please email a letter of recommendation to taphccoffice@bellsouth.net by May 1, 2020. Or fax it to 865-531-7045. Applications without a letter of recommendation will not be considered. Thank you for your application.
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