What is Apprenticeship

The training model of Registered Apprenticeship provides a unique combination of structured learning with on-the-job training from an assigned mentor and instructor.

Health Care Integrated Services (HCIS) is offering your child the opportunity for college level training and education without the responsibility of student loans.

HCIS Apprenticeship is a program designed to create career opportunities for juniors and seniors that extend beyond high school academics. The program is designed for high school students interested in earning a license or certification in a Health Care STEM-related area, skilled occupation and want hands on learning at a worksite along with classroom instruction. Similar to a registered apprenticeship for adults, the employer invests time and money to prepare students for ongoing employment and advancement. Youth apprentices can start their program in the summer or fall of their junior or senior year. The youth apprentice is mentored for 500 hours on the worksite and at the same time, students take one year of related courses. There may be some paid work experience but not guaranteed. Youths can commit to one or two years in the program, depending on the student’s year in school and the occupation of the apprenticeship.

Your child’s course schedule is related to the apprenticeship to help them learn the skills needed to be successful on the job, and they will earn credit toward graduation. Receive one-on-one mentoring working side-by-side with high performing employees.

Receive a State-issued industry skills certificate upon successfully completing the program to use as proof of their abilities and skills.

There will be no out-of-pocket cost to the apprentice.

The Apprentice MAY NOT begin training without Parent Consent, and the application is complete. NO HOURS WILL BE CREDITED BEFORE APPRENTICE REGISTRATION.

You are registering for:

Health Care Integrated School Based Health – CA002168818

Register Apprentice

Dates

Apprentice Details

Contact Information

As the parent (or legal guardian) of the student:

Student Apprentice Parental Consent

1. My child will be subject to the rules, regulations and policies of medical personnel (including: Health Screening, TB Test and Health Insurance).

2. My child may be exposed to discussions, reading and visual material of a mature nature and will be expected to conform to the same performance standards as any other medical professional as set forth in course outlines, syllabi and HIPAA guidelines.

Parent Certification and Release

I understand that all tuition/fees/textbook costs for any apprenticeship coursework at Health Care Integrated Services, shall be covered by the agency or work site for my child during his/her apprenticeship.
I understand that a parent or guardian must attend, along with my child, any orientation session or meeting that may be required for the Youth Apprenticeship program.
I authorize the release of transcripts of grades and attendance records to the U.S. A Department of Apprenticeship.
I authorize the Youth Apprenticeship Coordinator the use of written or oral testimonials and photographs and/or video or digital recordings with my child’s image in Youth Apprenticeship publications and/or news releases.
I understand that I am solely responsible for the transportation of the undersigned student to and/or from the classroom or work site and for all loss involved in said transportation.

Parent (or Legal Guardian) Information

Signature

Please provide your full name and date

Enrolling as:

Adult Apprentice Enrollment Application

A student who has interrupted schooling for a continuous period of at least two years will not be allowed credit hours of instruction received before the date of interruption
Transfer students from a state other than California must submit a certified or notarized copy of their prior records.

Personal Information

To be completed by student and parent
As required by state law, please provide your United States Social Security Number. It is considered CONFIDENTIAL information and is not for public disclosure.

A student who has interrupted schooling for a continuous period of two years or more will not be allowed credit for hours of instruction received prior to the date of interruption.

Transfer students from a state other than California must submit a certified or notarized copy of their prior records.

Eligibility

To be eligible for this program, you must have qualifying test scores, be on track for graduation, and have good attendance and behavior records. The Office of Your High School Program will notify the applicant of other program prerequisites.

Disclosure

Health Care Integrated Services does not discriminate in admission or employment on the basis of race, gender, color, national or ethnic origin, age, religion, disability, marital status, veteran status, sexual orientation, gender identity or pregnancy.

Certificate of Completion Course Level
Cardiopulmonary Resuscitation Semester I
Medical Billing Semester I
Electronic Health Records Semester I
Health Assessment Semester II
Vaccine Procedures and Storage Semester III

Position Description: Medical assistants perform routine administrative and clinical tasks to keep the offices of physicians and other health practitioners running smoothly. The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner’s specialty.

Related instruction will consist of 500 hours of classroom time and on-the-job learning, consisting of lectures, demonstration, and other related instruction. Examinations will be given periodically to evaluate apprentices’ comprehension of instruction offered.

Related instruction – This instruction shall include, but not be limited to:

Course Hours
Medical Terminology 28
Problem Solving/Critical Thinking 28
Health and Safety 28
DSM VI Diagnostic Research 28
Reimbursement/Revenue Cycle 28
Legal and Compliance 24
Health information and Delivery Systems (Records, database and IT) 18
Coding Classification 18
On the job employment -unpaid 300
TOTAL HOURS 500

As a Youth Apprentice, I agree to:

  1. Maintain the academic and attendance requirements required by the Youth Apprenticeship program, my high school, and my work site.
  2. Observe all school and company rules and other requirements identified by my instructors and my employer/mentor.
  3. Participate in progress reviews scheduled with work site mentors, school personnel and my parent(s)/guardian(s).

As a Youth Apprentice, I understand the following:

  1. I will need to participate in summer employment as part of my on the job work experience. I understand this employment may be paid or unpaid.
  2. The Apprentice program requires a time commitment beyond that of a typical high school student. I must complete 500 instructional and work hours combined during the year, which means that I might average 10 hours per week of work during the school year and more time during the summer.
  3. I will be asked to provide my on-site employer with specific hours and days that I am available to work and that timely communication with my work site mentor regarding unplanned changes in my personal schedule is extremely important.
  4. If I should have any problems with my related instruction or my job site, I will notify my Youth Apprenticeship school-based coordinator of the situation immediately.

I certify that the facts contained in this application are true and complete to the best of my knowledge.

Student Commitment Form

Recommendation

Evaluation

Please evaluate the student’s performance by rating the student in each area below:
Please provide any additional explanation or examples to support your ratings in the space below, or attach a separate sheet if necessary: