VOCATIONAL TRADE APPRENTICESHIP- MENTORSHIP REGISTRATION

VOCATIONAL TRADE APPRENTICESHIP- MENTORSHIP REGISTRATION
Employment Status*

employed full-timepart-time,unemployedLaid-Off due to Company Closing
Which Apprenticeship Mentorship are you enrolling in?*

Classes begins Spring 2026
What Apprenticeship Mentorship are you interested in;*

HVAC Technician Apprenticeship MentorshipPlumbing Technician Apprenticeship MentorshipA.I. Analyst Apprenticeship MentorshipTelecommunication (Fiber Optic) Technician Apprenticeship MentorshipElectrical Technician Apprenticeship MentorshipConstruction Apprenticeship Mentorship
Do you want to apply for a scholarship for tuition?*

YesNo
Do you live in Memphis?*

YesNo
If No, What City and State
Education Level*

I'm in 10th gradeI'm in 11th gradeI'm in 12th gradeI am a High School GraduateI am a GED RecipientCollege DegreeGraduate Degree
YOUR INFORMATION
Your Name*

First NameLast Name
What is your age:*
Take Your Photo*
Race*

BlackWhiteAsainHispanicOther
Gender*

MaleFemale
Date of Birth*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell*

Area CodePhone Number
Home*

Area CodePhone Number
EMERGENCY CONTACT
Name*

First NameLast Name
Relationship to student*
Phone Number*

Area CodePhone Number
Email
example@example.com
Check Box to Confirm*

I confirm the selected program and acknowledge understanding of information above to be true and accurate.
Should be Empty:

YOUR INFORMATION