Delta College - General Motors - ASEP Automotive Service Educational Program Application

Candidate Name ___________________________________________________________________


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Delta College - General Motors - ASEP Automotive Service Educational Program Application

Section 1 to be completed by Applicant

Candidate Name ___________________________________________________________________

Last First Middle

Address ___________________________________________________________________________

Street City State Zip

Phone ( ) Delta ID # ___________________ Today’s Date _______________________

Do you have a valid Michigan drivers’ license? Yes ____ No ____

If yes, enter your license number ________________________________________________

Please provide a copy of your driving record from Michigan Secretary of State. _______

Educational Background

High School from which graduated ____________________________________ Year ___________

Or year GED completed ______________________________________________________________

Did you participate in a High School Automotive Program? Yes ______ No ______

If yes indicate below the type of Automotive Program:

Industrial Arts _____________________ or Career Center ___________________________________

How many semesters? __________ Name of Teacher _____________________________________

Articulated credit for any automotive classes? _______________________________________

Have you attended any college classes? Yes _____ No _____

If Yes, where? ______________________________________ Dates of Attendance _____________

Credit hours earned ____________

Classes taken _______________________________________________________________________

___________________________________________________________________________________

Other educational experience (military schools, seminars, etc.) ____________________________

___________________________________________________________________________________

Work Experience (Most recent within the past two years)

Place of employment _____________________________________________________________

Immediate Supervisor ___________________________________Phone (____)______________

Place of employment _____________________________________________________________

Immediate Supervisor ___________________________ Phone (____)______________________

Career Interests Write a clear, definitive statement of your career interests.

_________________________________________________________________________________

I hereby certify that the foregoing statements are true and correct. I understand that if I have knowingly provided incorrect or false information, I may forfeit the opportunity to be selected as a participant in the Automotive Service Educational Program.

In addition, I authorize the Delta College GMASEP coordinator to release any placement test scores, college transcripts, attendance records and/or other academic information, to my current or potential dealership/PSC or General Motors officials involved with the Automotive Service Educational Program. I also authorize the use of any photos taken of me to be used for reporting/marketing of Delta College, Delta College GMASEP Program and by any General Motors or ACDelco partner.

_______________________________________ ________________________________

Applicant Signature Date

(If you do not have a dealership or PSC Center considering sponsorship, please send your application to the GMASEP Coordinator at Delta College.)

Section 2 to be completed by GM Dealership or PSC Center Representative

______ Yes, I am considering providing sponsorship to this applicant. (Expression of interest, not intent) If yes, ask applicant for high school transcript.

______________________________________ __________________________________

Dealer/PSC Authorized Representative Title

______________________________________ __________________________________

Dealership/PSC Name Date

______________________________________ __________________________________

Address Phone (area code)

______________________________________ __________________________________

City State Zip

Note: On completion of application to this point, applicant should call the Delta College GMASEP Coordinator to schedule an appointment. Bring application to the meeting.

Section 3 to be completed by Delta College Representative

I have interviewed the Automotive Service Educational Program (ASEP) applicant for consideration for appointment to the Program. The ASEP applicant has been provided with the information needed to complete the admission requirements to Delta College.

_______________________________ _____________ (989) 686-9351

Delta College ASEP Coordinator Date Phone (area code)

Required entry level automotive courses:

ASEP 100_________ASEP 101________ ASEP 102_______ ASEP 103 __________

ASEP 104 _________ASEP 105________ ASEP 106 _______ASEP 107 __________

ASEP 108 _________ASEP 110 ________ ASEP 149 (ASE G1) _______

I have reviewed the Automotive Service Educational Program requirements with the applicant for the Delta College - General Motors ASEP Program.

______ Yes I can recommend this student for placement in GM ASEP at this time.
______ No I cannot recommend this student for placement in GM ASEP at this time.

If no at this time, student should concentrate on the following:

_________________________________________________________________________________

______________________________ ______________ (989) 686-9351

Delta College ASEP Coordinator Date Phone (area code)

Note: Applicant is to return this application to recommending dealer.

Section 4 to be completed by GM Dealership/ PSC Center during Second Interview AFTER applicant has met with the GM-ASEP Coordinator

Dealership: _____________________________________ Location: ____________________

Dealership Comments:

Education and Training: Is candidate’s education, training and interest job related, and do they match qualifications for admission to GMASEP?

___________________________________________________________________________

Work Experience: Does candidates’ experience on other jobs relate to the work involved in this program?

___________________________________________________________________________

Skills and Abilities: Does candidate possess skills and abilities related to ASEP course curriculum?

___________________________________________________________________________

Career Interests: Are the candidate’s goals and aspirations in harmony with the opportunities available in Automotive Service?

___________________________________________________________________________

Employability: Does candidate have necessary qualifications for employment (other than the skills outlined in curriculum)?

___________________________________________________________________________

Other factors: Comment on any other factors brought out in the interview which could have an effect on the candidate’s suitability for ASEP.

___________________________________________________________________________

Do you recommend this candidate for the ASEP Program? _____ Yes _____ No
__________ Yes, I will sponsor this applicant.
Please provide the following information:

Name of GM DMA __________________________________________________________________

Dealership/PSC Center Name _____________________________________________________

Service Manager Name ________________________Email______________________________

Mentor’s Name ______________________________________________________________________

______________________________ ________________________ ________________

Dealer-PSC/ Authorized Representative Signature Title Date

Following Dealership approval, please return to:

Delta College

Jim Miller, ASEP Coordinator

jamesmiller@delta.edu

1961 Delta Road

University Center, MI 48710

Section 5 to be completed by ASEP Coordinator

Check appropriate space(s):

______ Yes, applicant has met all the requirements for consideration for appointment to the Automotive Service Educational Program.
______ No, applicant did not meet all the requirements for consideration to the Automotive Service Educational Program.

Reason: ________________________________________________________________________

_______________________________________________________________________________

_____ Yes, applicant was appointed to the Automotive Service Educational Program. Please notify student, dealer, service manager, DTC, and DMA of selection.

____________________________________________________ ____________________

ASEP Coordinator Signature Date

IT IS THE POLICY OF DELTA COLLEGE NOT TO DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, SEX, AGE, NATIONAL ORIGIN OR HANDICAP IN ITS EDUCATIONAL PROGRAMS, ACTIVITIES, OR EMPLOYMENT.

Delta College - General Motors - ASEP Automotive Service Educational Program

Source: https://www.delta.edu/programs/automotive-gm-asep/gm-asep-application.pdf