*
*
*
- - *
NAME CHANGE: Please provide the name that will appear on documents or transcripts that you submit, if it is different than your present name.
Required Information Must Be Provided to Complete this Application
1. Check the Appropriate box(es) (A-F) to Indicate Your Means of Qualification for Apprenticeship.
4. List College Degree(s) earned (Type in the boxes below):
5a. Indicate Math course(s) completed:
9. Do you have other construction work experience?
13. Do you have a valid Driver's License?
16. Are you physically and mentally able to safely perform or learn to safely perform essential functions of the job either with or without reasonable accommodations?
23. Did you have any part-time or summer jobs while attending school?
Statements of Understanding
You MUST Check Each Circle for Each of the Statements (A through I) Below to Indicate Your Knowledge and Understanding. NOTE: If You Need Clarification On Any Item Do NOT Hesitate to Ask Us.
I have checked all the above (A thru I) to indicate my understanding, and state that all information provided on this form is true and accurate. I hereby grant permission to all former employers and references listed to disclose any information concerning my past employment and/or qualifications, unless I have indicated otherwise(23a.). I agree that any false statements made by me on this application form shall constitute grounds for disqualification of my selection or grounds for my discharge, if false information is discovered after being selected for apprenticeship.
I hereby apply for an apprenticeship indenture with this sponsor and agree that if selected, I will abide by all of the sponsor's Standards, Rules and Policies and the Indenture (Apprenticeship Agreement). Type in your name in the box below as your signature to these statements.
Apprenticeship Application EEOC Supplemental Information
THIS APPRENTICESHIP SPONSOR IS COMMITTED TO EQUAL OPPORTUNITY FOR ALL APPLICANTS. THE RECRUITMENT, SELECTION, EMPLOYMENT AND TRAINING OF APPRENTICES DURING THEIR APPRENTICESHIP, SHALL BE WITHOUT DISCRIMINATION BECAUSE OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER OR AGE - EXCEPT THAT THE APPLICANT MUST MEET THE MINIMUM AGE REQUIREMENT. THE JATC DOES NOT, AND WILL NOT, DISCRIMINATE BECAUSE OF THE DISABILITY OF SUCH INDIVIDUAL. WE RESPECTFULLY REQUEST THAT YOU ANSWER THESE QUESTIONS AS PART OF YOUR APPLICATION FOR APPRENTICESHIP.
PLEASE COMPLETE THE FOLLOWING
THE INFORMATION VOLUNTARILY PROVIDED BELOW IS SIMPLY FOR EQUAL EMPLOYMENT OPPORTUNITY COMMISSION (EEOC) PURPOSES. THIS INFORMATION WILL ASSIST US IN OUR EFFORTS TO PROVIDE ACCURATE INFORMATION IN COMPLIANCE WITH EEOC REGULATIONS AND REQUIREMENTS.
*