GO FAME Application

First Namerequired

Middle Name

Last Namerequired

Mailing Addressrequired

Cityrequired

State

Zip Coderequired

Date Of Birth format mm/dd/yyyyrequired

Emailrequired

Home Phone format 000-000-0000required

Cell Phone format 000-000-0000

Best Way To Contact You

Emergency Contact Name and Phone Number

Have you registered for the Selective Service?yes no

Are you a Veteran?yes no

Currently Employedyes no

Years Employed

Current Employer Name and Location

High School Name no abbreviations pleaserequired

Guidance Counselor's Namerequired

High School Graduation/Expected Graduation Date format mm/yyyyrequired

ACT Scores

English

Reading

Math

Science

Composite

List any manufacturing or technical courses you completed (high school and/or college)

List any other relevant activities or work experience

Please tell us in 500 words or less why you are interested in the GO FAME program and why you think you’d be a good fit.required

Which program are you applying for?Advanced Manufacturing Technician (AMT) Computerized Manufacturing and Machining (CMM)

In order to be considered for acceptance into the GO FAME program and a company sponsorship, you must check this box. By checking this box you are giving the Greater Owensboro (GO FAME/GO CAREERS) chapter of the Kentucky Federation for Advanced Manufacturing Education (KY FAME) and Owensboro Community and Technical College (OCTC) permission to share with one another and their collaborating organizations, the information in your application and any other documents or media that you submit with your application. You understand that by submitting your application and supporting items, you are waiving your rights of nondisclosure of these records under federal law to GO FAME/GO CAREERS, KY FAME, OCTC, and collaborating organizations, including company sponsors. This release does not permit the disclosure of these records to any other persons or entities without your written consent.

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GO FAME Application

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