A$ET PROGRAM: APPRENTICE APPLICATION Thank you for your interest in becoming an apprentice through the Accounting Services Employment Training (A$ET) program! Please fill out this application and we will reach out to you. "*" indicates required fields Your Name* First Last Birth Date* MM slash DD slash YYYY Applicants must be over 18 years old to participateLast Four Digits of Social Security Number* Gender* Female Male Nonbinary Are you a veteran?* Yes No How did you hear about this program?* Friend or Colleague Employer Publication Online Event Other Home Phone*Cell PhoneEmail* Preferred method of communication* Home Phone Cell Phone Email Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your industry/occupation of interest?* Have you received any education in this industry?* Yes No Please describe your education*Do you have any work experience in this industry?* Yes No Please describe your work experience*Please describe your specific skills related to this industry?*Do you anticipate working in Bookkeeping and Accounting for 3+ years?* Yes No Are you currently employed?* Yes No How long have you worked for your current employer?* Please enter the business name of your employer* Employer's Phone Number*Employer's Email* Employer's business address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Who is your lead supervisor at work?* First Last Supervisor's Phone Number*Supervisor's Email* I understand that this is a paid apprenticeship that, if selected, requires me to be an employee of the sponsor business.* Yes, I understand. Are you a previous or current Shasta College student?* Yes No What is or was your declared major / program of study?* Signature of Apprenticeship Applicant* By typing your name you agree to use it as your electronic signature in this instance only.CommentsThis field is for validation purposes and should be left unchanged.