[[[["field3","contains","Northern"]],[["show_fields","field15"]],"and"],[[["field15","equal_to","Let me choose from a list of participating companies"]],[["show_fields","field16"]],"and"],[[["field67","equal_to","Yes"]],[["show_fields","field74,field70,field71,field72,field73"],[]],"and"],[[["field78","equal_to","Yes"]],[["show_fields","field69,field75,field76,field79"]],"and"],[[["field68","equal_to","Yes"]],[["show_fields","field77"]],"and"]]
1 Program info
2 Personal info
3 High School
4 Assessments
5 Activities
6 Upload & submit
AMT Program Application

*Before you begin, please be sure to have any test scores as well as the following documents for upload: high school transcript, any college transcripts, expected graduation quintile from guidance counselor & brief essay explaining your interest in the program.*

I will accept a sponsorship with the following companies(Check all that apply)
Contact Information
First Name
Last Name
Street Address
City
State
ZIP
Phone
Is this a mobile number?
BirthdatePlease enter your date of birth
Gender
Will you be 18 before July 1, 2016?
Are you a U.S. citizen?
Are you a Veteran?
Have you registered for the Selective Service?
High School Name
Guidance Counselor NameLeave blank if you do not remember
Graduation dateor expected date
Number of students in graduating classIf you have not graduated, please see your guidance counselor to get an estimated number for your graduating class. If you have graduated, please enter information from your high school transcript.

High school math classes (Enter grade for all that apply.)

Algebra I
Algebra II
Pre-Calculus
Calculus
Trigonometry
Did you participate in Project Lead The Way?
Did you participate in Gateway to Technology?
Have you taken the ACT Test?If so, please enter scores below
English
Reading
Math
Science
Composite
Have you taken the SAT Test?If so, please enter scores below
Mathematics
Reading
Science
Composite
Have you taken the COMPASS Test?If so, please enter your score below
COMPASS Test Score
Did you participate in SkillsUSA?
Did you participate in First Robotics?
List any manufacturing academies completed
0 /
List any other technical programs attended
0 /
List awards and honors received
0 /
List any high school activites
0 /
Additional Comments
0 /

Please be sure to submit the following documents:

  • High School transcript
  • Any college transcripts
  • Essay: Give a brief statement explaining your interest in working as an advanced manufacturing technician and your ultimate goal in applying for this educational program and company sponsorship. (500 words or less, double-spaced, 12 pt font)
FilesMultiple file uploads accepted
Upload
Acknowledgement
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