Date of Application *

First Name *

Last Name *

Date of Birth *

Home Address *

(street, zip code and state)

Email *

Name of PHCC of NC member company sponsoring you for this application: *

Member Company address: *

Member Company phone number: *

Your relationship to the company: *

Previous School: *

What high school, trade school, or program did you attend last year?

Date of Graduation or GED: *

Current Enrollment: *

High School

College/University

Trade School

Apprenticeship Program

What college, university, trade school, or registered apprentice program do you plan to attend? *

Have you been accepted? *

Yes

No

What course of study do you plan to follow? *

Transcript Request: *

Please attach a transcript from your current school, College/University, trade school, or apprenticeship to complete your application.

For those in a trade school or apprenticeship program, this can include:

• Proof of enrollment
• A record of completed courses, certifications, or training hours
• A progress report or evaluation from your program supervisor

If you have questions about what documentation to submit, please contact Adria Jones apprentice@phccnc.com.

20MB max

List extracurricular activities and honors received through school, workplace, church and community *

Letter of intent: *

20MB max

Resume *

20MB max

Letter of recommendation 1 *

Applicants must provide three (3) letters of recommendation including a letter from your high school principal/counselor, college or university dean or academic advisor.

20MB max

Letter of recommendation 2 *

20MB max

Letter of recommendation 3 *

20MB max

Contact Information for Award Ceremony Invitation *

If awarded, who should we contact to invite to the award ceremony during our Summer Convention at Wrightsville Beach on August 2, 2025? 

• Name: 
• Relationship to You: 
• Phone Number: 
• Email Address:

Signature *