skilled trades track pre-apprenticeship completion ... · skilled trades track pre-apprenticeship...
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Skilled Trades TRACK Pre-Apprenticeship Completion Certification
Today’s Date
First Name Middle
SSID
Program Area
Last
Address
City State Zip
Student Permanent E-mail (not school email)
School Name
School Address
Completing Instructor
Instructor Phone Instructor E-mail
List the required core courses that were successfully completed with final grade ** transcripts must be attached **
Course Grade
Course Grade
Course Grade
Course Grade
Are Safety Module Certificates on file from Labor Cabinet ETrain?
http://www.laborcabinetetrain.ky.gov/trackcourses.html
Name of End of Program Assessment
End of Program Assessment Grade ** transcripts must be attached **
By my signature below, I attest that the information contained within is accurate and that the above named student has successfully completed the SKILLED TRADES TRACK Pre-Apprenticeship program in accordance with the sponsoring organization's Registered Apprenticeship program and is eligible for the industry certification and accompanying completion certificate
_________________________________________________ ____________________ Student Signature Date
_________________________________________________ ____________________ Completing Instructor Signature Date
_________________________________________________ ____________________ Principal Signature Date
_________________________________________________ ____________________ TRACK Program Coordinator Signature Date
SUBMIT COMPLETED FORM BY MAIL: KDE/OCTEST - Mary Taylor, 300 Sower Blvd., 5th Floor, Frankfort, KY 40601 OR SCAN & EMAIL to [email protected]
ALL COMPLETED CERTIFICATES WILL BE RETURNED TO THE SCHOOL AT THE ADDRESS ON RECORD