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  • Preparing Apprentices with Supportive Services (PASS)

     Program Assistance Request

  • There is a cap of $300 per applicant.
    Apprentices are eligible for two
    calendar years from their date of
    initiation but may only apply once.

  •  - -

  • Student Information

  • Format: (000) 000-0000.

  • Check all that apply:

  • Trade Information

  • Enrolled in which Apprenticeship Program?
  •  - -

  • Apprenticeship Program Representative Approval

    * Application must be submitted and signed by Apprentice Coordinators/ Business managers. Applications received directly from apprentices will not be reviewed or processed.
  • Format: (000) 000-0000.
  •  - -
  • List out the cost of boots, equipment/tools, supplies, and books for which you are requesting financial assistance for program completion:
  • Cost:
  • 2

  • SAVE OR PRINT THE PDF AND SEND IT TO YOUR APPRENTICE COORDINATOR FOR SIGNATURE!

    IT IS NOT OFFICIALLY SUBMITTED UNTIL SIGNED BY YOUR CORDINATOR.
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  • Should be Empty: