Form update 10-5 – Western Washington Sheet Metal JATC

Info:

First name:*

Last name:*

Date of birth:*

SSN:*

Drivers license number:*

Gender:

Ethnicity:

Region:

Veteran:

Street:*

Street 2:

City:*

State:*

Zip code:*

Address type:

Primary phone number:*

Primary phone type:

Email:*

Email address type:

Referral category:

Apprentice type:

Answers:

Apprenticeship Application

Are you legally eligible to work in the United States of America?*

Are you at least 17 years of age or older?*

Do you have copies of your transcripts from high school to your highest level of education?*

Have you received any OSHA training?

Education

Name of High School* (instructions)

City and State of High School * (instructions)

Did you graduate?* (instructions)

Diploma or GED?*

Did you attend college? (instructions)

Did you graduate?

If yes, what type of degree did you receive?

What other educational trainings have you received? (instructions)

List any vocational training for which you have received credit, including those in high school, college, and technical school, armed forces ect. (instructions)

References

Please list one professional reference

Reference #1 Name (instructions)

Reference #1 Company (instructions)

Reference #1 Phone number (instructions)

Reference #1 email (instructions)

Previous Employment

Current or most recent employer. (instructions)

Employer phone number (instructions)

Supervisors Name (instructions)

Job Title (instructions)

Responsibilities (instructions)

Dates employed from and to. (instructions)

Reason for leaving (instructions)

May we contact your previous supervisor for a reference?

Military Service

Did you serve in the military?*

If yes, which branch did you serve under?

Apprenticeship Specific Questions

Please answer all questions below

I acknowledge that I have received and reviewed the “Alcohol & Substance Abuse” policy.* (image)

I acknowledge that I have received and reviewed the “Your Right to Equal Opportunity” .* (image)

I acknowledge that I have read, understand, and accept the terms of the Colorado Sheet Metal Joint Apprenticeship & Training Committee Respect in the Education Environment Policy (Anti-Discrimination and Anti Harassment) * (image)

After reviewing the Job Description, are there any duties or tasks that you would be unable to perform without reasonable accommodation?* (image)

Do you agree to obtain a physical examination by a licensed physician, at our expense, prior to your acceptance into the Sheet Metal Workers Apprenticeship Program?*

Are you willing to submit to substance testing on your own time before being indentured into the Sheet Metal Workers Apprenticeship Program?*

Do you understand and accept that you will be required to attend Sheet Metal Workers Apprenticeship Program Classes on your own time, sometimes including night and/or weekend classes, as necessary?*

Do you understand and accept that, from time to time, you will be required to attend meetings of the Sheet Metal Workers Joint Apprentiiceship & Training Committee on your own time?*

Do you understand and accept that acceptance into the Sheet Metal Workers Apprenticeship Program is not a guarantee of full employment?*

Do you understand and accept that increases in pay are dependent upon progress made by you, the Apprentice, both on the job and in your Sheet Metal Workers Apprenticeship Program Classes?*

Have you previously applied for apprentice training in any trade?*

Do you understand and accept that you will be required to sign an Educational Loan Agreement for each Sheet Metal Program Class?* (image)

Disclaimer and Signature

I certify that, to the best of my knowledge, my answers are true and complete and I understand and accept that any false or misleading information or statement on this application will result in my immediate disqualification from the Sheet Metal Workers Apprenticeship Program. If my application is accepted, I agree to comply with all rules and regulations as adopted by the Colorado Sheet Metal Workers Joint Apprenticeship & Training Committee and the provisions of the Collective Bargaining Agreement.

By entering my full name, I agree that my electronic signature expressed by typing name in the box below is the equivalent of my manual signature on this application. I also agree that no certification authority or third party verification is necessary to validate my e-signature on this document.*

ASVAB score

Interview score