Apprentice Request Form

Apprentice Request Form

Alameda County Electrical JATC
Contractor Info *

Company Name Point of Contact Name
Contact Email *
example@example.com
Contact Phone Number *
Foreman's Name *
Foreman's Phone Number *
Jobsite Information *

Job Name

Street Address

City

Postal / Zip Code
Date Requesting Apprentice *

Month Day Year
Date
Length of Job Request *
Type of Work Requested *

Residential Commercial Industrial
Start Time *
ex: 7am, 6x10's @ 6am, 9pm graveyard, etc.
Preferred Apprentice Bracket *

1st Year Only 1st-3rd Year 3rd-5th Year 5th Year Only Any Year
Number of JW working at site *
Include all FM onsite
Number of Apprentices working at site *
Ratio of JW:Appr is 3:2
Local Hire Requirements? *

Yes No
If "Yes", please describe here...
Ex: Oakland Resident Only, Alameda County Resident Only, etc.
Drug Screening Required? *

Yes No
Does the Apprentice need to be vaccinated against COVID-19 to work on the jobsite? (Contractor may need to show proof of vaccination requirement from client) *

Yes Yes, but exemptions permitted No
Additional Comments
Special parking instructions, background check, etc.
Should be Empty: