Life Sciences Apprenticeship Statement of Interest

Life Sciences Apprenticeship Program - Statement of Interest

*Indicates a required field.

First Name *

Last Name *

Email *

Phone *

Please indicate how you identify yourself. (Enter all that apply) *

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

White

Prefer not to say

I am 18+ and a HS graduate (or equivalent). This is a requirement. *

Yes

No

Highest Education Level *

Are you a veteran? *

How did you hear about the program? *

If Other/Personal Referral, please describe. *

Which apprenticeship program are you most interested in? Please note, not all programs may be offered at this time. *

Biomanufacturing Technician

Laboratory Support Specialist

Not Sure

CTA

Both

Are you available to work full-time, on-site at a local company following completion of part-time online and in lab training? *

Yes

No

Not sure

Will you now or in the future require sponsorship for employment visa status? *

Yes

No

Why are you interested in this apprenticeship program? *

Is there anything else you'd like to tell us about yourself?

Please note, this statement of interest form is NOT an application to the program. After you submit this form, you will receive an email asking you to register for an information session. The link to register will also pop up on screen after you hit submit. Attendance at the information session is mandatory and you will learn during the session how to apply to a program. Please email apprenticeship@massbioed.org with questions about how to sign up for an information session.