GO FAME ApplicationFirst NamerequiredMiddle NameLast NamerequiredMailing AddressrequiredCityrequiredStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip CoderequiredDate Of Birth format mm/dd/yyyyrequiredEmailrequiredHome Phone format 000-000-0000requiredCell Phone format 000-000-0000Best Way To Contact YouEmergency Contact Name and Phone NumberHave you registered for the Selective Service?yes no Are you a Veteran?yes no Currently Employedyes no Years EmployedCurrent Employer Name and LocationHigh School Name no abbreviations pleaserequiredGuidance Counselor's NamerequiredHigh School Graduation/Expected Graduation Date format mm/yyyyrequiredHigh School Math Courses ScoresAlgebra 1Algebra 2Pre-CalculusCalculusTrigonometryEnter grades for all that applyACT ScoresEnglishReadingMathScienceCompositeCOMPASS ScoresEnglishReadingMathCompositeDid you participate in Project Lead the Way?yes no participation not requiredAre you applying as an internal company sponsored participant or a new applicant?internal company sponsored participant new applicant List any manufacturing or technical courses you completed (high school and/or college)List any awards or honors you receivedList any high school activities, community service, or organizations of which you are a memberList any other relevant activities or work experienceHobbiesPlease 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. 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.