Test Application

STEP 1: Personal Info
Student Information
Name*
First Last
Email*
Cell / Home Phone
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM
DD
YYYY
Parent / Guardian Information
Parent Name*
First Last
Relationship to Student*
My parent / guardian has an email address:*
- Yes
- No, please call them.
Email

This email will be used to request a signature on the completed application.
Parent Cell Phone*
Parent Home Phone

STEP 2: Educational Background
High School*
If other, please specify:*
Grade Level*
- 11 (Junior)
- 12 (Senior)
Current High School GPA (Unweighted)*
An official transcript from your high school is required.
List any CTE course you are have taken or are currently taking at your current high school:
Multiple courses should be separated by commas.

STEP 3: Interests & Career Information
List any school, athletic, volunteer, or community activities.*
Multiple activities should be separated by commas.
What careers are you interested in?*
Multiple careers should be separated by commas.
Describe skills you are able to bring to the Apprenticeship Randolph program.*

APPRENTICESHIP RANDOLPH