AMT Work Sponsorship Application First Name Last Name Address City State Zip Code Email Home Phone Mobile Phone Birthdate Are you a U.S. citizen or permanent resident? - Select -YesNo Please list colleges attended High School High School Graduation Date? High School GPA Grade received in Algebra 1 - Select -ABCDFHave not taken this course Grade received in Algebra 2 - Select -ABCDFHave not taken this course Grade received in Pre Calculus - Select -ABCDFHave not taken this course Grade received in Calculus - Select -ABCDFHave not taken this course Grade received in Trigonometry - Select -ABCDFHave not taken this course College entrance exam mathematics score - Select -Accuplacer Classic: Elementary Algebra 75 or lessAccuplacer Classic: Elementary Algebra 76 to 107Accuplacer Classic: Elementary Algebra 108 to 119Accuplacer Classic: Elementary Algebra 120 or moreAccuplacer Next Gen: QAS 262 or lessAccuplacer Next Gen: QAS 263 to 275Accuplacer Next Gen: QAS 276 to 299Accuplacer Next Gen: QAS 300 or moreACT: Math 18 or lessACT: Math 19 to 20ACT: Math 21 to 27ACT: Math 28 or moreSAT before March 2016: Math 459 or lessSAT before March 2016: Math 460 to 499SAT before March 2016: Math 500 to 619SAT before March 2016: Math 620 or moreSAT after March 2016: Math 509 or lessSAT after March 2016: Math 510 to 529SAT after March 2016: Math 530 to 639SAT after March 2016: Math 640 or more College entrance exam english score - Select -Accuplacer Classic: Sentence Skills 65 or lessAccuplacer Classic: Sentence Skills 66 to 87Accuplacer Classic: Sentence Skills 88 to 103Accuplacer Classic: Sentence Skills 104 or moreAccuplacer Next Gen: Writing 236 or lessAccuplacer Next Gen: Writing 237 to 249Accuplacer Next Gen: Writing 250 to 274Accuplacer Next Gen: Writing 275 or moreACT: English 15 or lessACT: English 16 to 17ACT: English 18 to 26ACT: English 27 or moreSAT before March 2016: Writing 429 or lessSAT before March 2016: Writing 430 to 449SAT before March 2016: Writing 450 to 624SAT before March 2016: Writing 625 or moreSAT after March 2016: Evidence-Based Reading and Writing 439 or lessSAT after March 2016: Evidence-Based Reading and Writing 440 to 479SAT after March 2016: Evidence-Based Reading and Writing 480 to 639SAT after March 2016: Evidence-Based Reading and Writing 640 or more College entrance exam reading score - Select -Accuplacer Classic: Reading Comp 59 or lessAccuplacer Classic: Reading Comp 60 to 78Accuplacer Classic: Reading Comp 79 to 99Accuplacer Classic: Reading Comp 100 or moreAccuplacer Next Gen: Reading 236 or lessAccuplacer Next Gen: Reading 237 to 251Accuplacer Next Gen: Reading 252 to 275Accuplacer Next Gen: Reading 276 or moreACT: Reading 14 or lessACT: Reading 15 to 16ACT: Reading 17 to 26ACT: Reading 27 or moreSAT before March 2016: Critical Reading 439 or lessSAT before March 2016: Critical Reading 440 to 459SAT before March 2016: Critical Reading 460 to 629SAT before March 2016: Critical Reading 630 or moreSAT after March 2016: Evidence-Based Reading and Writing 439 or lessSAT after March 2016: Evidence-Based Reading and Writing 440 to 479SAT after March 2016: Evidence-Based Reading and Writing 480 to 639SAT after March 2016: Evidence-Based Reading and Writing 640 or more Please list all STEM-related extracurricular activities you have been involved in, including PLTW, Skills USA, or another STEM related program share also any regional, state or national level competitions: Please list any awards Please list any high school activities Please list any technical skills including any pre/post secondary classes you may have. Please designate type, length to complete. Include dates, grade, and any certificates or degrees earned Please list all previous work experience. Designate full or part time along with dates employed. Ethnicity (Optional) - None -American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther Gender (Optional) - None -MaleFemaleTransgender How did you hear about the AMT Program? - Select -Career FairBillboardsTeacher or CounsellorAMT StudentParent Please select your first choice for the Manufacturing Business Partner you wish to work with - Select -ToyotaNucor SteelKanawha Scales & SystemsService WireAppalachian Power Mountaineer Plant Niterra (formerly NGK Sparkplugs)No Preference Please select your second choice for the Manufacturing Business Partner you wish to work with - Select -ToyotaNucor SteelKanawha Scales & SystemsService WireAppalachian Power Mountaineer Plant Niterra (formerly NGK Sparkplugs)No Preference Please select your third choice for the Manufacturing Business Partner you wish to work with - Select -ToyotaNucor SteelKanawha Scales & SystemsService WireAppalachian Power Mountaineer Plant Niterra (formerly NGK Sparkplugs)No Preference Submit Agreement By clicking on submit, the applicant agrees to allow BridgeValley to share this application with its Manufacturing Business Partners.
