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

Candidate Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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| Type | PDF |
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[Open original PDF →](https://www.delta.edu/programs/automotive-gm-asep/gm-asep-application.pdf)

## Document text

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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 \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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Other educational experience (military schools, seminars, etc.) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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## Work Experience (Most recent within the past two years)

1. Place of employment \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Immediate Supervisor  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Phone (\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2. Place of employment \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Immediate Supervisor \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Phone (\_\_\_\_)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

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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

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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:

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\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_     \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (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:

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

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

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

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

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

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

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7.  Do you recommend this candidate for the ASEP Program?        \_\_\_\_\_ Yes           \_\_\_\_\_ No

8. \_\_\_\_\_\_\_\_\_\_ Yes, I will sponsor this applicant.

9. Please provide the following information:

Name of GM DMA \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Dealership/PSC Center Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Service Manager Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Email\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Mentor's Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

10.  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Dealer-PSC/ Authorized Representative Signature                             Title                                              Date

## Following Dealership approval, please return to:

Delta College

Jim Miller, ASEP Coordinator

[jamesmiller@delta.edu](mailto: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:  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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- [ ] \_\_\_\_\_ 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

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<small>Source: [https://www.delta.edu/programs/automotive-gm-asep/gm-asep-application.pdf](https://www.delta.edu/programs/automotive-gm-asep/gm-asep-application.pdf)</small>
