CRC - Automotive Technology/Ford ASSET

*Required fields

Personal Information

*First Name

*Last Name

Student ID

*Address

*City

*State

*Zip Code

Home Phone

Cell Phone

*Email

Name of High School attended

Year of Graduation

Year GED Completed

Have you earned College units? YesNo

If yes, where and how many units have you completed?

College Name

Units

Math and English

Since eligibility for the ASSET program requires that you be prepared to take math and English, we need to know what your level is in these areas. Do NOT submit this application until you have answered the following questions:

*Have you taken Math or English courses in college? Yes No

List the course by number and name and identify the college where you took the courses.

*Have you taken the Math and English assessment test? Yes No

If yes, at which Los Rios college did you take the Math and English assessment test?

English writing course placement

English reading course placement

Math course placement

Work Experience

Do you have work experience?
Yes No

Within the past two years, list most recent first:

Company Name:

Address:

City:

State:

Zip:

Immediate Supervisor:

Phone:

Job Duties:

Company Name:

Address:

City:

State:

Zip:

Immediate Supervisor:

Phone:

Job Duties:

Are you currently employed by a Ford or Lincoln dealership?
Yes No

If yes, Dealership name

Contact Person

Phone

Have you made any prior dealership contacts regarding the ASSET program?
Yes No

If yes, Dealership name

Contact Person

Phone

Cosumnes River College, Ford Motor Company, and participating dealers are committed to equal opportunity access education and employment. Both Cosumnes River College and Ford Motor Company have adopted policies prohibiting discrimination on the basis of sex, age, race, color, national origin, religion, or disability.

TO AVOID RECEIVING AN ERROR MESSAGE PLEASE CLICK SUBMIT APPLICATION ONE TIME ONLY

ASSET Program Application

Personal Information

Math and English

Background Information

Work Experience