Lineworker Pre-Apprenticeship Application and Process

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1 Lineworker Pre-Apprenticeship Application and Process 2018

2 Lineworker Pre-Apprenticeship Application Mission: The Lineworker Pre-Apprenticeship is a program to assist emerging youth in their efforts to prepare for a career as an Electric Lineworker. Participant Criteria: Must be a high school senior during the school year o Must be 18 by June 1, 2019 to participate in summer work opportunity OR o Must be 18 by October 1, 2019 to participate in fall work opportunity Must attend high school in Johnston County (public, charter, private, or homeschool) Must participate in all sessions if selected Must submit application to school Career Development Coordinator (CDC) by October 1, 2018 (Please type or use an ink pen to print legibly.) Name: Last First MI Preferred Name Age: Mailing Address: Street/PO Box City State Zip Home Address: (if different) Street/PO Box City State Zip Applicant Cell Number: School: Home Number: Grade Level: address: Parent/Guardian Commitment: I have reviewed the Lineworker Pre-Apprenticeship Application and agree to support this educational opportunity for my student. I am aware that if my student is selected, he/she will be involved in the program for a total of 10 Saturdays (non-consecutive, list of dates attached) of education and may possibly have the opportunity to gain paid work experience after high school and reaching the age of 18. Parent/Guardian Signature Date

3 1. How did you learn about the Lineworker Pre-Apprenticeship? 2. What do you hope to gain from participating in the Linewoker Pre-Apprenticeship? 3. What do you consider your highest accomplishment, skill, or achievement so far? 4. What do you enjoy doing outside of school? 5. Describe your career goals. 6. List any work experience (volunteer or paid).

4 Saturday Learning Experiences Date Time Location Notes October 20 7:00 am 770 Hannah Creek Road November 17 7:00 am 770 Hannah Creek Road December 8 7:00 am 770 Hannah Creek Road January 12 7:00 am 770 Hannah Creek Road January 26 7:00 am 770 Hannah Creek Road February 16 7:00 am 770 Hannah Creek Road March 2 7:00 am 770 Hannah Creek Road March 30 7:00 am 770 Hannah Creek Road April 27 7:00 am 770 Hannah Creek Road May 18 To be announced To be determined Completion Ceremony & Family Picnic Out of respect for students, families, and instructors time and planning, every effort will be made to adhere to the above listed dates. However, weather, emergency, or unforeseen conflicts may arise, necessitating a date change.

5 Contacts Town of Benson Matt Zapp Town Manager Laureen Shepard Administrative Asst Glenn Core Elec. Syst. Distr. Superv Tyler Douglas Media Coordinator Town of Clayton Adam Lindsay Town Manager Dale Medlin Electrical Syst. Director Town of Selma Elton Daniels Town Manager Donald Baker Public Services Dir Town of Smithfield Michael Scott Town Manager Ted Credle Public Utilities Dir Rodney Johnson Electrical Dist. Superint ElectriCities Melissa Miranda VP Human Resources Maureen Bertolo Learning & Dev. Mgr David Young Mgr. Safety & Training Craig Batchelor Safety & Training Spec Katie Diefes Media Nash Community College Bebe Wall Recruiter/Retention Spec Melissa Cahoon Dir. of Corp. Training Wendy Marlowe VP Corp. & Econ. Dev Gary Blackburn Chair, Ind. & Manf. Tech

6 Johnston County Public Schools Suzanne Lujan Exec. Dir. Col./Car. Read Monica Connor CTE Admin. Asst CTE Fax Cherry Johnson Dir. Res. & Grant Dev Johnston County Public Schools High School Career Development Coordinators Jaconna Bailey Clayton Mary Hunter Waller Cleveland Stephanie Grimes Corinth Holders Lola Lippert North Johnston Kathryn Farrior Princeton Cindy Allen Smithfield Selma Amy Cox South Johnston Debbie Burns West Johnston

7 Application Submission Scenario #1 Student submits application at school: (preferred and most likely scenario) Applicant should submit completed application to the school s Career Development Coordinator (CDC) CDC will submit application to the Career & Technical Education (CTE) office CTE office will forward a copy of the application to all four participating towns (Benson, Clayton, Selma, Smithfield) Town(s) will communicate and decide to which applicants they will offer opportunities Consortium will provide the CTE office with a list of students participating in the Senior year education hours Each Town will provide the CTE office with a list of students participating in summer work hours Application Submission Scenario #2 Student submits application to a town: Applicant submits completed application to his/her Town Town will submit a copy of the application to the CTE office CTE office will forward a copy of the application to all four participating towns (Benson, Clayton, Selma, Smithfield) Town(s) will communicate and decide to which applicants they will offer opportunities Following these uniform procedures will ensure that no applications are lost and that we have record of the number of program applicants. Also, please provide the following to the CTE office: List of accepted to participate in the Senior year education hours (Consortium) List of students participating in summer work hours (each Town)

CLACKAMAS COUNTY Report ID: PRS001C PAY PLAN REPORT Run Date 06/12/2018. Std Hours Minimum Midrange Maximum , , ,102.

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