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Youth Apprenticeship 1st Quarter Check-In

2022-2023
Name *

First Name Last Name
Email *
example@example.com
Name of High School *
Employer *
Please give a short answer to one (1) of the two (2) questions.
What are you curious about or want to learn more about during your YA experience and why? *

0/100
What about your YA experience is the most surprising to you (for example: what did you least expect going into the experience) and what lesson(s) can you draw from this? *

0/100
Identify any challenges or concerns that you have at the worksite. *

0/100
Have you been working on a weekly basis? *

Yes No
If no, please explain why:
The Youth Apprenticeship Program requires that students work a minimum of 450 hour per year while enrolled. Please enter your current Year-To-Date (YTD) hours worked so we can check your progress: *
OPTIONAL: Please submit a copy of your last paycheck for verification. You can take a screenshot of your paycheck.

Cancel of
Signature *

Clear
PLEASE COMPLETE BY UPLOADING AT LEAST ONE PICTURE AND GIVE A STATEMENT ABOUT YA AND/OR YOUR JOB FOR YOUR STUDENT SPOTLIGHT!
If you want to be featured on our social media for the YA Student Spotlight, upload 2 photos of yourself at work. Please include one landscape and one portrait image.

Cancel of
Please give a short statement on how how your Youth Apprenticeship experience has positively impacted you and/or your future career plans.

0/100
Any questions? Email your YA Coordinator!
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