Child Development Center and Laboratory School Paid Apprenticeship Program Application

Mt. San Antonio College 1100 N. Grand Ave, Walnut, CA 91789 Phone: (909) 274-4920 Fax: (909) 274-2057 The Mt. San Antonio College Early Child Development Apprenticeship is one of two in Southern California. Its mission is to provide students the opportunity to learn and development within their chosen field. At completion, successful candidates will earn an ECE Certification or Associate Degree in Child Development and 2.5 years of teaching experience. Program Requirement: -Mt. SAC Student -18+ Years Old -2.5 or Higher GPA -12+ Units in ECE Completed [C Grade or Better] -Associate Teacher Permit or Equivalent -Clear Background/Medical/Immunization Mt. San Antonio College is an Equal Opportunity Employer. To apply: Complete this application, attach an unofficial transcript, two (2) letters of recommendation, your educational plan or MAP, and a personal statement based on your future career goals.

Please enter your A#, including the "A."

CONTACT INFORMATION

*(Street, city, state and zip code)

(000) 000-0000

BEST TIME TO CALL*
PROGRAM PREFERENCE*

EDUCATION

DID YOU GRADUATE HIGH SCHOOL*
*IF NO, DID YOU COMPLETE AN ALTERNATIVE PROGRAM?

(i.e. GED, etc..)

HAVE YOU COMPLETED EARLY CHILD EDUCATION COURSES?*

EMPLOYMENT HISTORY

INCLUDING VOLUNTEER WORK, INCLUDE ADDITIONAL JOB INFORMATION AS NEEDED.

INCLUDE JOB DUTIES.

CAN WE CALL FOR A REFERENCE?
CAN WE CALL FOR A REFERENCE?
CAN WE CALL FOR A REFERENCE?

REFERENCES

PLEASE LIST NAME AND CONTACT INFORMATION FOR THREE PERSONS WHO CAN GIVE INFORMATION ABOUT YOU.

NAME

ADDRESS *(Street, city, state and zip code)

TELEPHONE NUMBER (000) 000-000

RELATIONSHIP TO YOU (FRIEND, EMPLOYER, ETC.)

NAME

ADDRESS *(Street, city, state and zip code)

TELEPHONE NUMBER (000) 000-000

RELATIONSHIP TO YOU (FRIEND, EMPLOYER, ETC.)

NAME

ADDRESS *(Street, city, state and zip code)

TELEPHONE NUMBER (000) 000-000

RELATIONSHIP TO YOU (FRIEND, EMPLOYER, ETC.)

PLEASE READ AND VERIFY BELOW

I verify that the information on this form is correct and complete. I understand that my acceptance to the apprenticeship program depends on the accuracy of my answers. I authorize Mt. San Antonio College to request copies of transcripts, transfer information, and employment references pertinent to performance.*

ATTACHMENTS

-Transcripts (unofficial) -Two (2) Letters of Recommendation -Educational Plan or MAP -Personal Statement(based on your future career goals)

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