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Student Name
*
First Name
Last Name
High School
*
Please Select
Belleville High School
Deerfield High School
DeForest High School
Destinations Career Academy - WI Virtual Academy
Evansville High School
Madison Capital High School
Madison East High School
Madison La Follette High School
Madison Malcolm Shabazz City High School
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Marshall High School
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Middleton Clark Street School
Middleton High School
Monona Grove 21
Monona Grove High School
Mount Horeb High School
New Glarus High School
Oregon High School
Stoughton High School
Sun Prairie East High School
Sun Prairie West High School
Sun Prairie Prairie Phoenix Academy
Verona Area High School
Waunakee High School
Wisconsin Heights High School
Parent Guardian Information
Your student has applied to the Youth Apprenticeship Program and needs your support!
Your Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Transportation
Transportation is the responsibility of the parent. Students may need to commute to a position outside their community or to a required class at Madison College or DCSC evening class.
DCSC Youth Apprenticeship can assist students with some transportation NEEDS. (bus passes, DL assistance). Do you have Transportation needs?
*
No
Yes, Please list/explain below
Transportation needs?
Do you foresee any limitations pertaining to location (i.e., downtown Madison)? Please mark one. If yes please state driving limitations.
*
NO
YES
Driving Limitations?
Parent Statement of Support
Why would your daughter/son be a good candidate for the Youth Apprenticeship program and how are you willing to support your child's involvement in the program?
*
Release
By signing below, the Parent/Guardian and the Employer / Volunteer Coordinator agree to indemnify and release Dane County School Consortium, its elected officials and/or its employees from any and all liability, and any and all damages and/or injuries to the student’s person or property as a result of participating in this program.
Signature
Date
-
Month
-
Day
Year
Date
Submit
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