IW 395 APPRENTICE APPLICATION 2021

JOINT APPRENTICESHIP TRAINING COMMITTEE IRONWORKERS LOCAL UNION 395
Name *

first name last name
Middle Initial
Email *
example@example.com
Address *
City *
State *
Zip *
Cell Phone *
Social Security Number *
Driver's License# *
Driver's License Classification Type: *

Operator CDL Class A Chauffeur
Date of birth *

Month Day Year
Date
Check One:

Male Female
Emergency Contact Name *
Phone *
Citizenship: *

United States Other
If you are not a U.S. Citizen, do you have the legal documentation to work in the United States?

Yes No
If yes, please provide documentation:

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Please list all schools you have attended starting with high school.
School #1
Diploma/GED/Degree #1
School #2
Diploma/GED/Degree #2
School #3
Diploma/GED/Degree #3
Are you now, or have you ever been, a member of the International Association ofBridge, Structural and Ornamental Ironworkers?

Yes No
Employment History: (List most recent first) Company Name
Company 1 Name
Company 1 Duties
Company 2 Name
Company 2 Duties
Company 3 Name
Company 3 Duties
Company 4 Name
Company 4 Duties
Company 5 Name
Company 5 Duties
Have you ever been arrested, charged, or held by Federal, State, or law- enforcement authorities for any violation of any Federal law, State law, County or Municipal law, regulation, or ordinance? Do not include anything that happened before your 16th birthday. Do not include traffic violations for which a fine of $25 or less was imposed. All other charges must be included even if they were dismissed. *

Yes No
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement Authority
Action Taken
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement authority
Action Taken
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement authority
Action Taken
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement authority
Action Taken
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement authority
Action Taken
Arrest Date (month/year)
Charge
Place where arrested and name of law enforcement authority
Action Taken
If you have additional arrests, please list Date, Charge, Place Arrested & Arresting Agency, and Outcome below:
*This information is used only for certain job sites that may require background information by law. I also understand that a criminal background check may be performed by the Joint Apprentice Training Committee (JATC), Ironworkers Local 395, or a contracted employer for certain job sites, and the results of the criminal background check may be considered with all other information provided in this application. To the extent permitted by law, I waive any and all claims against the JATC, Ironworkers Local 395, and any contracted employer, for any actions it may take as a result of the information obtained from a criminal background check.
Type your initials to acknowledge that you have read and understand the statement above. *
How did you hear about us hiring? *

Newspaper Facebook Twitter Friend Job Fair High School Trades Day (Lake County Fair Grounds) Online Job Website Other
Is anyone you know an Ironworker? *

YES NO
If, so, who?
Reason for choosing this trade
Are you aware you must have a vehicle and a phone to successfully perform your apprenticeship duties? *

Yes No
CERTIFICATION
I certify that the information furnished in answer to these questions is correct and complete to the best of my knowledge and belief and I understand that it is of great importance in the consideration of my eligibility for apprenticeship. I make this statement to the Joint Apprenticeship Committee with the understanding that it will be used by the Committee in carrying out its duty in selecting apprentice applicants. I further understand that any false statement or omission of material fact may be sufficient cause for rejection of my application, or dismissal after my indenture or employment.
Type your initials to acknowledge you have read and understand the statement above: *
I hereby release all previous employers, references, or other persons from any and all liability and damage of whatsoever nature on account of furnishing information requested which is to be used in determining my fitness for an apprenticeship in the International Association of Bridge, Structural, and Ornamental Iron Workers
Type your initials to acknowledge that you have read and understand the statement above. *
Upload a Photo of Your Driver's License: *

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Upload a Photo of Your Birth Certificate:

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Your signature below indicates that you have read and agree to all questions and statements on this application.

IMPORANT: High School transcripts or certificate of GED completion must be mailed or emailed to the Apprenticeship Center from the school or institution within 14 business days of completing this application.

IW Local 395 Apprenticeship School

890 E. 25th Ave.

Lake Station IN 46305

Email: applicationslocal395@gmail.com
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Date
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