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Youth Co-op Application

Thank you for your interest in the Youth Co-op Program.

Contact Julie at jkracht@inspiresheboygancounty.org with questions.

Personal Information

Name*

First Name*

Last Name*

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

School Email*

Personal Email*

Inspire Contact Post Program Participation and Graduation *

I consent to receive communication from Inspire after program participation & graduation. I do not consent to receive communication from Inspire after program participation & graduation.

Date of Birth*

*Students must be 16 to participate in Youth Co-op

Gender

Female Male Non Binary

Grade Level *

10 11 12

School Attending*

School Counselor:

Parent/Guardian Name:*

Parent/Guardian Phone:*

Parent/Guardian Email:*

Youth Co-op Opportunities

More information about these companies

and their Youth Co-op opportunities

can be found at Participating Companies

Pathway/s Applying For:*

Agriculture, Landscaping Construction Hospitality, Lodging & Tourism Manufacturing Transportation

Charter Steel: Manufacturing Saukville

Summer 2024 1st Quarter 2024

Destination Kohler: Hospitality Kohler

Summer 2024 1st Quarter 2024

Dean's Auto Body: Transportation Sheboygan

Summer 2024

Johnsonville: Manufacturing Sheboygan Falls

Summer 2024 1st Quarter 2024

Nemak: Manufacturing Sheboygan

Summer 2024 1st Quarter 2024

Old Wisconsin: Manufacturing Sheboygan

Summer 2024

Plenco: Manufacturing Sheboygan

Summer 2024

Polyfab: Manufacturing Sheboygan

1st Quarter 2024

RAM Tool: Manufacturing Grafton

Summer 2024 1st Quarter 2024

Siebkens: Hospitality Elkhart Lake

Summer 2024 1st Quarter 2024

Academic & Career Planning Information

Please provide the following

academic & career planning info:

How would you rate yourself as a student?*

Excellent Above Average Average Below Average

What classes have you taken related to the Youth Co-op you are applying for? Please include related classes you are scheduled to take during the Youth Co-op session for which you are applying:*

Whats career/s are you currently most interested in exploring and/or pursuing ?*

What are your current plans after graduation?*

Work Military 2 Year College/Technical School Adult Apprenticeship 4 Year College Undecided

Why are you applying for the Youth Co-op Program? What makes you a great candidate?*

EMPLOYMENT HISTORY

Please list employment history, starting with your most recent job.

If you have no employment history,

please enter N/A into the Employer field.

Employer*

Dates of Employment

Job Title

Employer

Dates of Employment

Job Title