JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kaukauna High School Application for Cooperative Education Programs 2020-2021
Please submit before scheduling to receive permission to register- Contact Mr.Lawrence or Mr. Sackmann with questions
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Current GPA
*
Your answer
I am currently in:
*
10th grade
11th grade
Student Email
*
Your answer
Mailing Address
*
Your answer
Student Cell Phone Number
*
Your answer
Parent/Guardian Names and telephone contact information
*
Your answer
Do you have a driver's license or access to a vehicle to drive yourself to the job site?
*
Yes
No
Describe your current job.
*
Your answer
If you want your current job to be considered for Youth Apprenticeship include contact info for the employer.
*
Your answer
What are your long-term career plans post graduation?
*
Your answer
List all previous jobs including your supervisor and their business telephone.
*
Your answer
Work availability options (Check all that apply)
*
I am available at the start of summer
I am available beginning in September
I plan to participate in a fall sport
I plan to participate in a winter sport
I plan to participate in a spring sport
Other:
Required
Which trimesters do you plan on working - Check all that apply:
*
Trimester 1
Trimester 2
Trimester 3
Required
Are you anticipating working in (the):
*
Morning
Afternoon
Either morning or afternoon
How many periods per day do you anticipate working?
*
One period
Two periods
Three periods
Four or five periods (all graduation requirements must be completed for this option)
List courses you have completed or plan to take related to the proposed job choice.
*
Your answer
Which career pathway are you most interested in? For more information regarding careers in specific pathways, check out the information at the following link:
https://dpi.wi.gov/cte/career-development/career-clusters/pathways
.
*
Agriculture, Food, and Natural Resources
Architecture and Construction
Arts. Audio/Video Technology, and Communications
Business, Management, and Administration
Education and Training
Finance
Government and Public Administration
Health Science
Hospitality and Tourism
Human Services
Information Technology
Law, Public Safety, Corrections, and Security
Manufacturing
Marketing
Science, Technology, Engineering, and Mathematics
Transportation, Distribution, and Logistics
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kaukauna Area School District.
Report Abuse
Forms
