VOCATIONAL TRADE APPRENTICESHIP- MENTORSHIP REGISTRATION
Employment Status
*
employed full-time
part-time,
unemployed
Laid-Off due to Company Closing
Which Apprenticeship Mentorship are you enrolling in?
*
Classes begins Spring 2026
What Apprenticeship Mentorship are you interested in;
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HVAC Technician Apprenticeship Mentorship
Plumbing Technician Apprenticeship Mentorship
A.I. Analyst Apprenticeship Mentorship
Telecommunication (Fiber Optic) Technician Apprenticeship Mentorship
Electrical Technician Apprenticeship Mentorship
Construction Apprenticeship Mentorship
Do you want to apply for a scholarship for tuition?
*
Yes
No
Do you live in Memphis?
*
Yes
No
If No, What City and State
Education Level
*
I'm in 10th grade
I'm in 11th grade
I'm in 12th grade
I am a High School Graduate
I am a GED Recipient
College Degree
Graduate Degree
YOUR INFORMATION
Your Name
*
First Name
Last Name
What is your age:
*
Take Your Photo
*
Race
*
Black
White
Asain
Hispanic
Other
Gender
*
Male
Female
Date of Birth
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell
*
-
Area Code
Phone Number
Home
*
-
Area Code
Phone Number
EMERGENCY CONTACT
Name
*
First Name
Last Name
Relationship to student
*
Phone Number
*
-
Area Code
Phone 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.
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