Registered Apprenticeship Interest Form

*Are you a Career Seeker or an Employer? Career Seeker — I am a career seeker interested in exploring Registered Apprenticeship Programs. Employer — I am an employer seeking more information about starting a Registered Apprenticeship Program.

Career Seeker Information

*First Name

*Last Name

*Email Address

*Phone Number

*How would you prefer to be contacted? Email Phone Call Text Message

*In what county do you live?

Note: Wayne County — City of Detroit zip codes include the following:

48126, 48201, 48202, 48203, 48204, 48205, 48206, 48207, 48208, 48209, 48210, 48211, 48212, 48213, 48214, 48215, 48216, 48217, 48219, 48221, 48223, 48224, 48225, 48226, 48227, 48228, 48233, 48234, 48235, 48236, 48238, 48240, 48243

*Zip Code

*Have you earned a GED or high school diploma? Yes No

*In what industries are you interested in pursuing with your career? (Select all that apply) Advanced Manufacturing Agriculture and Animal Care Business and Administration Construction Cybersecurity Educational Services Climate/Clean Energy Healthcare Hospitality and Tourism Information Technology Public Service/Government Transportation and Logistics Other

Industries of Career Interest

Visit the U.S. Department of Labor's apprenticeship job finder to explore Registered Apprenticeship opportunities and apply. If you do not find an occupation of interest, connect with your local Michigan Works Agency! for personalized career guidance.

To get started, select the top three industries in which you are most interested in pursuing a career. Use the dropdown menus below to rank them in order of preference.

*Preferred Industry #1 (Most Preferred)

*What other industry interests you? (Please use commas to separate multiple industries)

Preferred Industry #2 (Optional)

Preferred Industry #3 (Optional)

Employer Information

*Company Name

Business Address

*Street Address

Address Line 2

*City

*County