Medical Assistant Apprenticeship Application

Pre-Screening Survey

Please complete the following questions to determine your eligibility for this program.
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If you checked no, please contact Amanda Nicholson, , 360-786-9722 x234, to discuss the program requirements. She can explore with you any issues that may affect your ability to be successful in the program.
If you checked yes to all the pre-survey questions, congratulations!

You qualify to apply for the apprentice program. Please have your educational and work experience ready to input in the following steps.You also may upload a current resume at the end of the form.

Full Application

For questions regarding this application process, please contact:

Amanda Nicholson

360-786-9722 x234
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Educational experience

List the name and address of each educational institution you attended. List high school and then list your most recent college experience next and work backward.

High School

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College

Please list your most recent experience first.
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College

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College

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Credentials

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Work experience

List the name and address of each employer for whom you have worked, including military service. List present employer first and work backward.

Present Employer

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Employer

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Employer

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Language

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Statement of Interest

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Additional Information

If you wish, you may upload a resume and/or a list of employment references to be included with your application. The file can be a doc, docx, or pdf. Please title the document appropriately before you upload it (example: resume-jane-doe.pdf or references-jane-doe.doc).
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