Date of birth:*
Drivers license number:*
American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific Islander</optionWhite
Primary phone number:*
Primary phone type:*
Secondary phone number:
Secondary phone type:
Email address type:
Applicant Bham Building Trades Sheet Metal ApprenticeApplicant HVAC Service TechnicianApplicant Residential Sheet Metal WorkerApplicant Sheet Metal WorkerApplicant Test, Adjust and Balance Technician
THE REMAINDER OF THIS FORM IS TO BE COMPLETED ENTIRELY BY THE APPLICANT
How did you become aware of this apprenticeship opportunity? *
I qualify for interview because I meet all the minimum requirements for apprenticeship.*
I am attempting to qualify for interview based on my previous work experiences.*
Are you a high school graduate?
If no, do you have a GED?
Did you satisfactorily complete Algebra I (or higher math) in high school or in a post high school institution? *
Did you ever participate in any kind of vocational technical training during or after high school?*
Describe the program
Did you complete the program
Did you participate in any kind of school-to-work (co-op education) while you were in high school?*
If yes, describe the program
Did you obtain full time employment (placement) in a related field upon completion of this program?
Have you served in the US military?*
Do you have sheet metal construction work experience?*
Do you have sheet metal experience?*
Have you applied with this apprenticeship program before?*
If yes, how many times
1 time2 times3 times
If yes, what year(s)?
Have you applied for apprenticeship in any other trade or occupation?*
Have you participated in an apprenticeship of any kind?*
Are you currently serving an apprenticeship?*
Do you have a valid Driver’s License?*
Do you have a Commercial Driver’s License?
List some reasons why you are applying for this apprenticeship program. *
Give a brief description of what you think is involved with this trade
Are you physically and mentally able to safely perform the work of this trade, either with or without reasonable accommodations?*
Are you able to get to and from work at various job sites anywhere within the geographical area that this apprenticeship program covers?*
Are you able and willing to attend all related classroom training as requires to complete your apprenticeship?*
Are you able to climb and work from ladders, scaffolds, poles or towers of various heights?*
Can you crawl and work in confined areas such as attics, manholes and crawlspaces?*
Are you able to read and understand English?*
Are you able to hear and understand verbal warnings given in English?*
Are you presently employed?*
If yes, do you request that we do not contact your present employer?
Did you have any part-time or summer jobs while attending school?*
Give Job Title, Describe Work Performed and Indicate Reason for Leaving (2)
By signing your electronic signature below you are indicating my understanding, and to state that, to the best of your knowledge, 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. I agree that any false statements made by me in this application 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 Standards, Rules, and Policies covered by the indenture (Apprenticeship Agreement).
Give Job Title, Describe Work Performed and Indicate Reason for Leaving (1)*
NOTE: If you need clarification on any Item do NOT hesitate to ask.
I am aware that it is my responsibility to keep this program informed of any change in my address or phone number.*
I have read and understand the basic qualifications for entry into this program.*
I have been given specific instructions as to what is required of me to complete this application and to become qualified for oral interview.*
I understand that it is my responsibility to see that all OFFICIAL transcripts and other required documents are provided in a timely manner in order to complete my application.*
I understand that if I fail to submit ALL of the required information within the specified time frame, my application may be considered incomplete.*
I understand that I cannot qualify for interview until I have met the minimum basic qualifications and have provided the necessary transcripts and documents as required.*
I hereby acknowledge that I bear the sole responsibility for completing my application following the instructions provided.*
I understand that interviews for qualified applicants will be conducted in the order in which the applications are completed.*
I understand that any intentional false statement or information that I have provided on this application form or on other documents shall be cause for denial of oral interview or termination of indenture, should I be selected for the program.*
I understand that an incomplete or unsigned application form will NOT be processed.*
I understand that only the ORIGINAL application form will be processed, and that Photocopies are NOT acceptable.*