EPIC Apprenticeship Application

EPIC Apprenticeship Application
Applicants shall meet the following minimum qualifications:

1. Age: Shall be at least 18 years of age.

2. Education: Shall possess a high school diploma or GED equivalency.

3. Physical/Mental: Shall be physically capable of performing the essential functions of the occupation without endangering the health and safety of themselves and/or fellow workers. Applicants shall be allowed to request reasonable accommodations for a disability to meet this standard when applicable.
I certify that I meet the minimum qualifications.
PERSONAL INFORMATION
Today's Date

MonthDayYear
Date
Legal Full Name
CONTACT INFORMATION
Mobile Phone Number
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
EDUCATION INFORMATION
Note: List all colleges/universities that you have attended.
Undergraduate School Name (College/University):
Major/Minor (if applicable):
Undergraduate Degree:
Graduation Year:
YesNo
Graduate School Name (College/University):
Major/Minor (if applicable):
Graduate Degree:
Graduation Year:
YesNoNA
Upload unofficial transcripts:

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CONTENT AREAS
Please indicate the area(s) you would like to be reviewed for eligibility. You can list more than one area.
Calhoun County School DistrictFairfield County School DistrictGeorgetown County School DistrictWilliamsburg County School DistrictSumter County School DistrictOrangeburg County School DistrictOther
ELIGIBILITY:
1. Which of the following statements apply to you:
If Yes, which university or program:
YesNoYes, but I withdrew.
3. Have you passed all currently required Praxis Content Area exams for your licensure area?
Please upload your Praxis score reports here:

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4. How many years of experience do you have working in an education setting, including this school year?
5. What is your current job? If you are currently not working, what was your prior job?
6. How did you hear about the EPIC Apprenticeship?
7. In which district are you employed? (If not applicable, select N/A)
YesNo
YesNoIf yes, please explain:
10. Why are you interested in joining the apprenticeship program?
Disclosure Statements:

By submitting this application, I certify that I understand the following:

I understand that the EPIC Apprenticeship is NOT a Certification Program.

I understand that the EPIC Apprenticeship is designed to prepare me for successful entry to and completion of a certification program.

I understand that I must be employed with a partner district and have approval from my district to participate in the EPIC Apprenticeship program.
Should be Empty:

EPIC Apprenticeship Application

PERSONAL INFORMATION

CONTACT INFORMATION

EDUCATION INFORMATION

CONTENT AREAS

ELIGIBILITY: