WiT (Women in Trades) Program Participant Enrollment Application

She Built This City is focused on ensuring that the next generation of skilled trade worker is diverse and infused with technology. We will be offering two training options. Both will allow you explore a variety of skilled trades to find your passion. Please indicate below which training cohort/class you are interested in.

2 Year Employment ApprenticeshipFree 8 -15 Weeks Pre-apprenticeship

Name

First NameLast Name

Date of Birth

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.

SBTC was created to spark interest and create pathways to careers in the skilled trades for women, young girls and non-binary individuals. Please indicate below your identifying gender:

FemaleNon-binaryDo not wish to share

Highest Education Level Achieved:

Some High SchoolHigh SchoolGEDCollege

If you did not complete high school, how many hours are you from receiving your diploma/GED?

If you have earned college credits, please provide details (i.e. major, degree received, institution enrolled, years attended, number of credits):

How did you hear about the program? *
Referral Agency/Representative

1. Tell us about yourself.

How would you describe your current employment status?

2. How does Trades Pre-Apprenticeship Training fit with helping you achieve your life's goals? Why are you applying?

3. What personal skills and attributes do you offer as a prospective student of this job training program and your future employer? (i.e. personality traits, work ethic, problem solving, ability to follow direction, etc.)

4. Explain what it means to be career ready.

Are you a veteran (or qualifying spouse), of the United States Military/Reserves?

As women and mothers, we understand that sometimes there are barriers that can hinder us from achieving success for ourselves and our families. That is why SBTC has built in assistance for those who wish to participate in this job training program, but may not have reliable child care and/or transportation. If you need child supervision and/or transportation, in order to participate in the program, please indicate below:

Child Supervision (ages 3-12)Transportation

Are there any potential barriers that may delay/prevent you from accepting a full time position in construction/skilled trades after successfully completing this program? NOTE: The responses below will not prevent participationin the progam. This will allow us to prepare the resources to remove obstacles to your success. Please indicate below:

Childcare/supervision during working hoursReliable transportation (vehicle/drivers license)History with past criminal offenseEmotional support (local family, friends, community)Access to appropriate/safety clothing (pants, outerwear, hats, footwear, etc)

PROFESSIONAL REFERENCES Please provide three (3) references of individuals who can attest to your work history (no friends or relatives). Include their full name, phone number, email address, relationship affiliation, and the number of years they've know you.

SIGNATURE SECTION

The statements and information furnished by the undersigned in this application form are true and complete.

The applicant agrees to permit SBTC to obtain documentation of educational records, background check, and drug testing as needed. Additionally, the undersigned applicant permits their case manager/program supervisor/referring agency representative to share such documentation (if it exists) and any other information pertinent to applicant’s participation and goals.

The following signature certifies that you have read and agree with the above statements.

Applicant Signature/Date

Clear

She Built This City (SBTC) - Women in the Trades