Career Navigation Program Enrollment Form

Please complete the following form to enroll in our Career Navigation Program.

Contact Information

First Name:

Last Name:

Email Address:

Phone Number:

What city do you currently reside in?

Are you currently an AJAC Program Participant or have been referred by an AJAC Partner?

If yes, please select program/referral type:

Career Goals

Are you currently employed?

Current Job Title:

Company Name:

Are you interested in enrollment into apprenticeship?

Full-time employment is a requirement of apprenticeship enrollment eligibility.

Are you seeking full-time employment?

What is your most commonly used form of transportation for commuting to work?

Programs of Interest

Which occupations of apprenticeship are you interested in?

Hold Ctrl to make multiple selections

Experience and Education

Highest Level of Education Completed:

If Other, please list your level of education completed:

Years of Professional Experience in the Manufacturing Industry:

Relevant Certifications or Training:

Additional Information

How did you hear about the Career Navigation Program?

Resume

Resume Upload (Required):

Agreement & Submission

Terms and conditions for enrollment in the Career Navigation Program:

Participants must adhere to all standards and policies set forth by the AJAC program. This includes compliance with any guidelines related to conduct, participation, and the pursuit of professional development goals.

Participants are expected to maintain open and honest communication with their Career Navigator and any current or potential employers. This includes being truthful about their qualifications, experiences, and career goals, as well as providing timely updates on their progress within the program.

Participants must demonstrate professional behavior at all times, both within the program and in any related employment or networking opportunities. This includes respecting deadlines, being punctual, and interacting respectfully with peers, instructors, and employers.

Note: The Career Navigator reserves the right to discontinue services if any of the above terms and conditions are not upheld by the participant.

I agree to the terms and conditions of the Career Navigation Program.

Typed Signature:

Date: