Institute For Advanced Manufacturing (I AM Program)

Institute For Advanced Manufacturing (IAM Program)
Application

Name

School

Grade or Graduated

GPA

Are you on track to graduate?

Work Experience you are applying for

Home Address

Zip Code

Neighborhood

Phone

Date of Birth

Age

Any known food allergies?

School Email

Personal Email

Do you currently have an Individualized Education Plan? Or require support services? (Answering “Yes” does not disqualify you from the IAM Program)

Is English your first language?

Check the identification documents you currently have:

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

What is your transportation plan for work:

If Other - Please explain

Some of the partner sites may require background checks, and/or drug testing; will this be an issue? (Answering “Yes” does not disqualify you from this opportunity)

Have you ever been suspended or expelled?

If so, please explain

Do you have a criminal record or have you been through the justice system?

If so, please explain

If you have a child(ren), do you have stable childcare?

If you have employment experience, list your job title(s), employer(s), and dates employed.

Job Title 1

Employer 1

Dates 1

Job Title 2

Employer 2

Dates 2

Job Title 3

Employer 3

Dates 3

Please attach a copy of your resume in Word format (doc, docx).

Reference (Non-JCG Affiliate):

Name

Phone

Title

How long have you known them?

Name

Phone

Title

How long have you known them?

An in person interview will be communicated to you by the Workforce Engagement Coordinator. For any questions, please email them at workforce@cycyouth.org.

Institute For Advanced Manufacturing (IAM Program) Application

Institute For Advanced Manufacturing (IAM Program)
Application