Application Form

Please Answer Each Section with Transparency and Accuracy. Thank You.

Contact Information

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Zip Code *

Student Information

Date of Birth *

Current School *

Grade Level *

Parent/Guardian Information

Parent/Guardian Name *

Parent Email *

Parent Phone *

Emergency Contact Name *

Relationship *

Emergency Phone *

Health Information

Allergies / Medical Conditions *

Practical Experience

Work Experience, Internships, or Personal Projects *

Skills

Do you have skills in any of these fields? *

Explain Any Other Skills *

What are Your Top Three Skills? *

Essays

Personal Mission Statement (1-4 sentences) *

Five-Year Vision (2 paragraphs) *

Career Goals in Automotive Repair and XGen Academy (300-500 words) *

Recommendations

First Recommender

Name *

Phone *

Email *

Relationship *

Second Recommender

Name *

Phone *

Email *

Relationship *

Personal Testimonies

Upload Video Testimonial * Accepted formats: MP4, WebM, Ogg (Max 100MB)

Social Media Presence

Facebook URL

Instagram URL

X (Twitter) URL

Snapchat

TikTok URL

Contact Information

Student Information

Parent/Guardian Information

Health Information

Practical Experience

Skills

Essays

Recommendations

First Recommender

Second Recommender

Personal Testimonies

Social Media Presence

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