Employer/Student Apprentice Interest Form
Are you an employer or a student?
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I am an employer interested in starting a Registered Apprenticeship Program
I am a new or current KC student interested in Apprenticeships
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My business is interested in developing an apprenticeship program in:
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Agriculture
Business
Computer Aided Drafting
Childcare Specialist
Paraprofessional
Health Occupations (i.e. CNA, Dental Assistant, Emergency Medical Technican, Health Information Management, Paramedic)
Hospitality (Culinary/Chef, Dietary & Nutitional Management
Cosmetology
Information Technology
Manufacturing (Industrial Maintenance, Electrical Technician, Fitter-Fabricator)
Transportation, Distribution, & Logistics (Automotive Technician, Bus Transit Technician, Truck Driver)
I would like to discuss a development of a program that is not listed.
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I am the:
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Business Owner
Business Manager
Human Resources Representative
Interested Employee
How did you hear about this program?
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Attended an event
Flyer
Colleague
Other
Name
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First Name
Last Name
Company Name:
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Title:
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Confirm Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the best time of day to reach you?
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Do you prefer to be contacted via email or by phone?
*
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I am a student interested in the following programs:
Automotive Technician/Mechanic
Certified Nurse Assistant (CNA)
Early Childhood/Child Care Development Specialist
Electrical Technician
Emergency Medical Technican/Paramedic
Fitter-Fabricator (Welder)
Industrial Maintenance Mechanic
IT Security Specialist
Network and Computer Systems Specialist
Transit Bus Technician (Automotive Technology)
Truck Driver
Welder
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Are you currently a:
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High School Student
Current KC Student
New KC Student
Parent
Not enrolled in secondary or post-secondary education
If high school student, please state high school name and anticipated graduation year:
Ex. Centralia High School, 2026
If current or new KC student, please state current program of student and anticipated graduation month/year
Ex. Dental Assisting, July 2026
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Confirm Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What's the best time of day to reach you?
*
Do you prefer to be contacted via email or phone?
*
Submit
Should be Empty: