JET SCHOLARSHIP OPPORTUNITY INTAKE FORM

Student Name

Phone Number

Street Address

City, State, Zip

Email Address

High School Attending

Have you been accepted, or have an application pending, to a technical or vocational training program? Have you been accepted, or have an application pending, to a technical or vocational training program? Yes No

If yes, what school and program?

I am interested in attending a technical or vocational training program but I need help figuring out the details. I am interested in attending a technical or vocational training program but I need help figuring out the details. Yes No

Check any/all boxes that apply to you: Check any/all boxes that apply to you: Low income and needing additional supports to complete school. Low income includes eligibility for public assistance, recipient of medical assistance or Minnesota Care, or free/reduced lunch Disability including physical, mental, learning, emotional, or attending counseling Homeless Foster child including aged out of care, kinship guardianship, or adoption Offender/juvenile justice system Pregnant/parenting Unsure - but I would like to meet with a career counselor to see if I am eligible