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About
Team
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Resources
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Menu Toggle
Cyber Warrior Program
Camp King Innovate
Youth Virtual Tutoring
Accelerator Program
Black Business Development Program
Angel Accreditation Academy
Center For Black Innovation
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Home
About
Team
Our Services
Resources
Events
Programs & Initiatives
Menu Toggle
Cyber Warrior Program
Camp King Innovate
Youth Virtual Tutoring
Accelerator Program
Black Business Development Program
Angel Accreditation Academy
ARGOS Pre-Apprenticeship Application
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Step
1
of 2
Full Name
*
Date
Phone
Date of Birth
Contact Information
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Email
*
Employer Status (select one)
Employed
Underemployed (a person who is highly skilled but working in low paying or low skill jobs)
Incumbent (established employment history with employer, and entering apprenticeship to upgrade skills)
Unemployed
If unemployed was selected, for how long?
Demographics
Gender
Male
Female
Prefer not to answer
Eligible Veteran Status
Yes. Discharged or released with conditions other than dishonorable (served less than or equal to 180 days)
Yes. Veteran
Yes. Eligible Person (Spouse)
No. Not a Veteran
Ethnicity
Hispanic-Latino
Asian
American Indian-Alaska Native
Black-African American
White
Other
If other, please insert them here
Is English your first language
Yes
No
Which best describes your educational level?
I do not have a high school diploma
I have a high school diploma
I have an Associate’s degree
I have a Bachelor’s degree
I have a Graduate’s degree
Apprentice (Attestation):
I certify, by my signature, that I have read and acknowledged that the information on this form is accurate. I understand that the information being provided is to establish eligibility for participation in an apprenticeship program and it is my responsibility to submit any changes of address, phone number,employment, pay, absences, withdrawals, schedule adjustments or course of study.
I understand that upon acceptance into the apprenticeship program, I will receive a training plan which includes classroom instruction and experiential learning / hands-on skill development instruction. I understand that I am required to complete all components of the training plan within the allotted time period. I agree to participate in mandatory course assessments and certification exams.
I understand that if I do not participate in all components of the training plan, I may be placed on apprenticeship probation or removed from the program.
I understand that by my agreeing, this notice is intended for apprentices and is made in compliance with Florida Statute 119.071 (5). Argos-AI collects your SSN for use in performance of its duties and responsibilities for the following purposes: identification, eligibility and administrative use, and reporting to the United States Department of Labor (USDOL) where the disclosure is necessary for program reporting. Federal Law requires that we protect social security numbers from disclosure to unauthorized parties. Pre-Apprentices are assigned program identification numbers to assist in protecting their identities.
understand
I understand
Not Applicable
Standards of Pre-Apprenticeship
Policy & Procedures
I acknowledge that I have read and agree to the terms stated in the program’s “Standards of Pre-Apprenticeship” and “Policy & Procedures”.
I understand that the pre-apprenticeship agreement may be canceled by either party during the probationary period upon written notice.
I understand that after the probationary period, the agreement may be canceled for good cause, with due notice to the apprentice, Sponsor and an opportunity for corrective action.
I voluntarily give consent to Argos-AI to release my information to third party partners (e.g. grants, workforce boards, etc.). I understand that the information will be used for data collection purposes.
Pre-Apprentice Signature
*
Clear Signature
Emergency Contact Information
Full Name
*
Relationship
Phone
Email
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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