Honda Automotive Apprenticeship Application Name* First Last Birth Date MM slash DD slash YYYY SSN or Jefferson State J#* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Home PhoneEmail* Sex Ethnicity Are you currently employed? Yes No If yes, enter name of current employer. Work PhoneHigh School Attended Year Graduated Are you currently enrolled at JSCC? Yes No If Yes, hours enrolled this term Major Previous Colleges AttendedDegree or Certificate Earned List any financial assistance you are now receivingDescribe why you deserve to be awarded this opportunity. Δ