MCCC Application Form

MCCC Application Form

Apply for Mason County Career Center programs and services. Please complete all required sections to ensure your application is processed.
Applicant Information
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
WVEIS Number
High School*
Current Grade Level*
Parent/Guardian Name*
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Program Choices
Select your first choice program*
Select your second choice program*
Select your third choice program*
References
Reference 1 Name*
Reference 1 Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name*
Reference 2 Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Objective
Why do you think you are the most qualified candidate for the Career and Technical Education (CTE) program you chose?*
What are your plans after graduating from high school?*
All CTE students must have a functional understanding of general math, fractions, decimals, measurement, tools, area measure, and volume measure. Specifically:- Whole number: addition, subtraction, multiplication and division- Fractions: defining, adding, subtracting, multiplying and dividing- Decimals: adding and subtracting, multiplying and dividing, converting to fractions- Percentages: calculating, adding, dividing, converting- Memorization of multiplication tables and the ability to do general “mental math” is essential.Students interested in these programs should also have a good command of language, reading comprehension, and written/verbal communication. A lot of the textbooks are at a college reading level, as these programs are preparing students to be career and college ready. It is very important that students can comprehend the material in order to ensure a safe and functional workplace environment.WHAT IS SIMULATED WORKPLACETo certify students are receiving the most authentic learning experiences, the West Virginia Department of Education, Division of Technical and Adult Education has collaborated with a committee of experts in career and technical education, higher education, and over fifty West Virginia business and industry experts to design the Simulated Workplace environment protocols and expectations.Participation in random drug testing is MANDATORY per the county policy. Additional requirements include attendance collection system, application and interview process for enrolling students, development of a company manual and participation in CTE Assessment required for completion (NOCTI).STRUCTURES AND PROCEDURESThe overall structure of the Simulated Workplace initiative will be governed by a set of protocols to assure consistency and quality in the local implementation of the concept. CTE programs will:- Transform the classroom environment into a replicated company- Utilize time clocks or some other form of formal attendance recording process- Develop/adhere to the county developed Random Drug Testing Policy- Conduct an application/interview process for enrolling students- Develop a company name and procedures/protocol manual- Ensure all students receive quality safety training and pass with 100% before being able to work in the shops- Conduct regular company meetings- Submit data reports developed by students and instructor- Establish work teams and an organizational system- Integrate the 6S Continuous Quality Improvement principles- Participate in Business and Industry yearly onsite evaluations- Utilize a portfolio system for students to document learning, credentials earned and special award and projectsIMPORTANT POLICY INFORMATION ABOUT MCCC PROGRAMSEach career and technical program at MCCC includes four (4) core courses, as defined by West Virginia Department of Education Programs of Study. (“The four credits taken in a Career & Technical Concentration must be consistent with those identified for WVDE approved career & technical programs of study.” WV Legislative Code 126CSR42)

Please read the information carefully before proceeding.
Simulated Workplace Requirements Agreement

Enrolling in a technical program at MCCC requires that students participate in specific tasks as mandated by WV Simulated Workplace. By initialing each item below, I acknowledge that I have read this application packet and agree to comply with the following requirements:
Punch or sign in/out on a time clock/time sheet*
Wear a work uniform as required by program*
Arrive on time and be ready for work when my shift begins*
Participate in random workplace drug testing*
Complete all safety and other training as required*
Maintain good attendance in the Simulated Workplace*
Understand that these courses are only offered once each year, and sequencing for the courses varies depending on the needs and requirements of each CTE program.*
Create and complete a CTE Portfolio and National Occupational Competency Testing Institute (NOCTI) Assessment*
Student Signature*

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Date (Student Signature)*

MonthDayYear
Date
Parent/Guardian Signature*

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Date (Parent/Guardian Signature)*

MonthDayYear
Date
Should be Empty:

MCCC Application Form

Applicant Information

Program Choices

References

Objective

Simulated Workplace Requirements Agreement