CareerWise Elkhart County Modern Youth Apprentices Survey

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Please fill out the contact information below so we know the best to contact you and get the information you need to become an apprentice. Please be sure to go the The HUB in JANUARY for your next steps. www.careerwiseelkhartcounty.org

Email *

First Name *

Last Name *

School *

Current Grade *

Best Email to reach you at *

Phone number

Parent/Guardian First and Last Name *

Parent Email and/or Phone Number *

What is the best way to contact you? *

Phone call

Text

What are some Career Pathways you might be interested in? Please select ALL that you are interested in. *

Advanced Manufacturing (Production Technician, CNC)

Business Operations (Project Coordinator, Office Manager)

Education (Education Professional, Teacher Assistant)

Financial Services (Bank Teller, Accounting)

Healthcare (Certified Medical Assistant)

Information Technology (Computer Technician, Help Desk, Coder)

Law (Paralegal Assistant)

Culinary Arts (Production Cook, Pastry Chef)

Construction Trades

CAD/Engineering

Required

Please select at what level you have interest in a CWEC modern youth apprenticeship. *

I am VERY interested. Please reach out SOON so I can get into the Hub. www.careerwiseelkhartcounty.org

I am pretty interested. Please send me email updates so I can learn more about youth apprenticeships.

I am somewhat interested. Please keep me on the email, but I am still unsure or it is still a couple of years away before I can become an apprentice.

By filling out the information above, I agree to let Horizon Education Alliance contact me through the options given. *

Yes

Send me a copy of my responses.

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