Space Coast Consortium Apprenticeship Program

Space Coast Consortium Apprenticeship Program

SCCAP participating companies are equal opportunity employers. SCCAP participating companies do not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. Questions? Reach out to us at spacetecus@gmail.com.
Candidate Application

Please select the Apprenticeship Program for which you are applying. If you are interested in more than one, please select all of the programs and then rank them in the order of your preference below (1, 2, 3, 4).
What Apprenticeship Program are you applying for?

Advanced MachiningFiber CompositesMechatronicsAdvanced Manufacturing Welding
If you are interested in more than one, rank the in the order of your preference (1, 2, 3, 4) in the space provided below:
Applicant Information
Name

First NameMiddle NameLast Name
Date of Application

MonthDayYear
Address

Street Address

Apartment/Unit #

CityState / Province

Postal / Zip Code
Phone Number
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Email
Date Available to start

MonthDayYear
Social Security Number
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Position Applied for
Are you a citizen of the United States?

YesNo
If no, are you authorized to work in the U.S.?

YesNo
Have you ever worked for this company?

YesNo
If yes, when?
Have you ever been convicted of a felony?

YesNo
If yes, explain:
Education
High School: Name of High School
Address: Street Address   Address Line 2   City   State   Zip
From   Date   to   Date
Did you graduate?   Yes   No
Diploma:  Diploma Name
College: Name of High School
Address: Street Address   Address Line 2   City   State   Zip
From   Date   to   Date
Did you graduate?   Yes   No
Diploma:  Diploma Name
Other: Name of High School
Address: Street Address   Address Line 2   City   State   Zip
From   Date   to   Date
Did you graduate?   Yes   No
Diploma:  Diploma Name
Business, Correspondence, Trade, Technical, Military or Vocational (including HS) Schools
List any you've attended:
Licenses, Registrations or Certifications
List any you have:
References

Please list three professional references
Full Name: blanks
Relationship:   Relationship
Company:   Company
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Full Name: blanks
Relationship:   Relationship
Company:   Company
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Full Name: blanks
Relationship:   Relationship
Company:   Company
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Previous Employment
Company: blanks
Job Title:   Title
Supervisor:   Type a label
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Starting Salary:  Type a label   Ending Salary:   $
From   Date   to   Date
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Company: blanks
Job Title:   Title
Supervisor:   Type a label
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Starting Salary:  Type a label   Ending Salary:   $
From   Date   to   Date
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Company: blanks
Job Title:   Company
Supervisor:   Type a label
Phone Number:   Area Code   Phone Number
Address:   Street Address   Address Line 2   City   State   Zip
Starting Salary:  Type a label   Ending Salary:   $
From   Date   to   Date
Responsibilities:
Reason for Leaving:
May we contact your previous supervisor for a reference?

YesNo
Military Service
Branch:
From Date to Date
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Date

MonthDayYear
Date
Signature

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Space Coast Consortium Apprenticeship Program

Candidate Application

Applicant Information

Education

Business, Correspondence, Trade, Technical, Military or Vocational (including HS) Schools

Licenses, Registrations or Certifications

References

Previous Employment

Military Service

Disclaimer and Signature