Scaling Apprenticeship at Community Colleges
Cohort Application
College Overview
Name of Institution
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Address of Institution (Main Campus)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your institution a current ACCT member?
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Yes
No
You have indicated that you are not an ACCT member. Feel free to continue the application but we are prioritizing our member institutions for this project. If you would like more information on ACCT membership, please contact Kielo Savilaakso, Director of Member Engagement at KSavilaakso@acct.org.
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Your Team
Name of Individual completing this form (Note: This individual will serve as your college’s main point of contact with ACCT, unless otherwise indicated):
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First Name
Last Name
Point of Contact Title
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Point of Contact Email
*
example@example.com
Point of Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Role on the team (select one):
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Program Area
Decision Level Administrator (e.g. Dean of Workforce)
Admissions/Financial Aid
Business/Advancement Office
IT/Records
None
Other
If "Other", please describe
If you have already identified planning team members for your Registered Apprenticeship program planning team, please share their names, titles, and contact information below.
Program Area Contact
First Name
Last Name
Program Area Contact Title
Program Area Contact Email
example@example.com
Program Area Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Decision Level Administrator Contact
First Name
Last Name
Decision Level Administrator Contact Title
Decision Level Administrator Contact Email
example@example.com
Decision Level Administrator Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Admissions or Financial Representative Contact
First Name
Last Name
Admissions or Financial Representative Contact Title
Admissions or Financial Representative Contact Email
example@example.com
Admissions or Financial Representative Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business/Advancement Office (Business Relations) Representative Contact
First Name
Last Name
Business/Advancement Office (Business Relations) Representative Contact Title
Business/Advancement Office (Business Relations) Representative Contact Email
example@example.com
Business/Advancement Office (Business Relations) Representative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
IT (Record Keeping) Representative Contact
First Name
Last Name
IT (Record Keeping) Representative Contact Title
IT (Record Keeping) Representative Contact Email
example@example.com
IT (Record Keeping) Representative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Project Team Members (Optional):
If you have not yet identified the team members, please indicate below how you have or plan to engage with the relevant individuals at your college:
As this project involves a stipend, please provide the following information to receive the stipend:
Name of Institution
*
Finance professional contact who ACCT should communicate with regarding the stipend payment:
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First Name
Last Name
Finance Professional Contact Title
*
Finance Professional Contact Email
*
example@example.com
Finance Professional Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Application Questionnaire
Please provide information below on your existing and future apprenticeship partnerships and goals.
1. During this project, your college will develop a registered apprenticeship program for two occupations which do not have to be in the same industry. Please indicate the two non-traditional industries and occupations (or occupation families) for which you plan to develop your apprenticeship programs. More information about apprenticeships for many of the following industries can be found at the US Department of Labor’s ApprenticeshipUSA site. The programs can be either credit bearing or non-degree workforce development. The example occupations below are not exhaustive lists, nor do you have to choose from those listed occupations; they are simply provided as examples.
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Advanced Manufacturing and Logistics and Supply Chain Occupations (example occupations: machinist; manufacturing engineering technician; industrial maintenance technician; warehouse supervisor; inventory specialist; semiconductor and advanced manufacturing technician including chip manufacturing)
Agriculture (example occupations: agricultural field technician; animal caretaker; veterinary assistant; plant sciences technician; precision agriculture field service technician; agricultural equipment operator)
Automotive (example occupations: diesel mechanic; electrical and electronic equipment assemblers; computer-controlled machine-tool operators; electric vehicle charging station technicians/installers/electricians/field service technicians)
Education (example occupations: teacher; teaching assistant; early childhood educator; direct support specialist)
Financial services (example occupations: general insurance associate; bank teller; risk consultation, bookkeeper)
Healthcare (example occupations: medical assistant; community health worker; surgical technologist; emergency medical technician)
Hospitality (example occupations: restaurant manager; cook; nutrition care specialist)
Sterile Manufacturing (example occupation: sterile processing technician, computer chips, pharmaceuticals)
Information Technology (example occupations: cybersecurity support technician; IT generalist; network support technician)
Other
If "Other", please describe the occupation and industry
2. Describe how participating in this project to become a registered apprenticeship program sponsor is aligned with the goals, priorities, or mission of your institution. Provide a rationale for how you envision becoming a registered apprenticeship sponsor will benefit your college and the students you serve. Please share any other reasons that participating in this project is important to your college.
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0/500
3. Describe any current or prior experience your institution has, or has had, with registered apprenticeships (such as providing related instruction for union or employer-sponsored apprenticeships).
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0/350
4. Describe your college’s commitment to long-term apprenticeship program growth from college leadership, as well as the college’s current ability to support students in an apprenticeship program. This may include existing resources or processes to provide assessment/placement services, financial aid services, academic advising and supports, coaching, and/or tutoring services.
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0/500
5. Describe your college’s existing partnerships with employers, particularly those in the industry/industries for which you plan to develop two apprenticeship programs. Please also provide insight about any experience your college has had with instructional and curriculum design for specific industries, occupations, skill sets, etc.
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0/500
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Closing and Submission
Is there any other information you would like to provide with regard to becoming a Registered Apprenticeship sponsor?
0/300
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