Apprentice Request Information

Name

This field is for validation purposes and should be left unchanged.

Your Name*

First Last

Phone*

Email*

What is your preferred method of communication?*

Phone

No Preference

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note: This apprenticeship program primarily serves Tehama, Trinity, and Shasta counties but may expand to employers in neighboring counties as determined by the committee.

Your Birthdate*

Are you a Veteran*

Yes

Gender*

Male

Female

Nonbinary

Are you a previous or current Shasta College student?*

Yes

I'm not sure

I received my education from a different provider or college

If you answered yes above, what is your Shasta College Student ID number?

What is your declared major/program on your Ed. Plan?

What specific experience, skills or knowledge do you already have in the account industry?*

Are you currently employed?*

Full Time

Part Time

Not Currently Employed

If yes, please enter the business name of your employer

Please enter your employer's business address

Street Address Address Line 2 City State ZIP Code

A$ET PROGRAM: INTERESTED APPRENTICE