Apprenticeship Application Form

For applicants who are under the age of 18 years, we must receive a parental consent form BEFORE we can process your application.

By signing this form, I acknowledge and agree to the following:

1.  Program Participation:  I consent to full participation in all aspects of the Dental Laboratory Apprenticeship Program, including classroom instruction, hands-on training, and any related activities. 
2. Information Sharing: I understand and agree that Helping Hands of Tennessee may share information about my participation in  the program with partnering agencies and relevant State of Tennessee Departments.  This information is necessary for program administration, evaluation, and compliance with funding requirements. 
3. Data Usage: I acknowledge that while my name and other directly identifying information will be redacted, certain demographic information such as household income, age, and/'or race may be shared for statistical and reporting purposes.
4. Confidentiality: I understand that Helping Hands of Tennessee will take reasonable measures to protect my privacy and will only share information on a need-to-know basis with authorized parties. 
5.  Program Requirements: I agree to meeting all program requirements, including attendance, academic performance, and adherence to program rules and policies.
6.  Medical Authorization: In the event of an emergency, I authorize Helping Hands of Tennessee to seek medical treatment if I cannot be reached immediately. 
7.  Media Release: I grant permission to be photographed or recorded during program activities, and for these images to be used for program promotion or reporting purposes. 
8. Transportation: I understand that I am responsible for arranging for transportation to and from program activities if the program does not offer transportation services.