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MC3 Program Application
Thank you for your interest in the MC3 Apprenticeship Readiness Program. Please complete all sections of this application. Fields marked with an asterisk (*) are required.
Personal Information
First Name
*
Last Name
*
Date of Birth
*
City / State
*
Zip Code
*
Email Address
*
What is your gender?
*
What is your race?
*
Are you a veteran?
*
Are you a veteran?
A
Yes
B
No
Do you have a valid driver's license?
*
Do you have a valid driver's license?
A
Yes
B
No
Do You Own a Vehicle
*
Do You Own a Vehicle
A
Yes
B
No
If No, Do You Have Consistent Access to a Vehicle to Get To Work?
*
If No, Do You Have Consistent Access to a Vehicle to Get To Work?
A
Yes
B
No
Apprenticeship requires commuting to various job sites within 1 hour of downtown Memphis. After completing the MC3 program, are you willing to commute up to 1 hour outside of Memphis each day for work long-term?
*
Apprenticeship requires commuting to various job sites within 1 hour of downtown Memphis. After completing the MC3 program, are you willing to commute up to 1 hour outside of Memphis each day for work long-term?
A
Yes
B
No
How Did You Hear About Us?
How did you hear about the MC3 Apprenticeship Readiness Program?
*
Referring Agency/Organization
*
Name of person who referred you
*
Current Employment
NAME OF EMPLOYER
*
WORK LOCATION (City & State):
*
POSITION:
*
CURRENT HOURLY PAY
*
FULL-TIME/PART-TIME
*
FULL-TIME/PART-TIME
A
Full-Time
B
Part-Time
Education & Work History
NAME OF EMPLOYER
*
POSITION
*
Have you completed high school or earned a GED?
*
Have you completed high school or earned a GED?
A
Yes
B
No
Please type your full name to provide your digital signature:
*
Date
*
Submit