Heat Frost 47 Apprenticeship Application

Apprenticeship Application
We HIGHLY RECOMMEND to read the application first before filling out the sections below: Read PDF
Applicant Name*
Date*

MonthDayYear
Date
Email*
Remember: Your application is considered complete ONLY if all forms are

filled out, along with a copy of your Diploma or GED, and school transcripts,

and are returned to the union office.
APPLICATION FOR APPRENTICESHIP
Name*

(First Name)(Last Name)
Middle Initial*
Street Address*
Apt or Box #
City*
State*
Zip Code*
SSN (First 3 digits)
SSN (Middle 2 digits)
SSN (Last 4 digits)
Phone Number
Please enter a valid phone number.
6. Are you 18 years or older?*

YesNo
Gender

FemaleMale
8. Racial / Ethnic Group

AsianHispanicAmerican Indian / Alaskan NativeBlackCaucasianOther Ethnic Group (please specify)
9. Are you disabled / handicapped?

YesNo
(“Disability / Handicap" is defined as: "a handicapping condition which substantially limits one of life's major activities such as walking, caring for yourself, seeing, hearing, speaking, performing manual tasks, breathing, learning, working." Do not answer "Yes" to this question if, for example, you have a visual problem corrected by glasses
Are you a United States of America Citizen or legally authorized to work in the United States of America?*

YesNo
Are you eligible for Veteran's benefits?*

YesNo
I HAVE READ AND UNDERSTAND THESE EMPLOYMENT CONDITIONS AS REQUIRED BY THIS OCCUPATION (Please see page 2 of paper application)
Signature*

Clear
Date*

MonthDayYear
Personal Data
Last Name, First Name, Middle Initial*
Telephone Number
Address*

(Mailing Address)

Street Address Line 2

(City, State, Zip)State / Province

Postal / Zip Code
Social Security Number
Alternative Telephone Number
Have you applied for this training before?*

YesNo
If Yes, when?
SECTION 2. EDUCATION

Education History (please fill out all that apply)*

	NAME OF SCHOOL	CITY, STATE	DEGREE / DIPLOMA / G.E.D.
HIGH SCHOOL
VO-TECH
TRADE SCHOOL
COLLEGE

SECTION 3. TRADE RELATED SKILLS OBTAINED THROUGH OTHER SOURCES:
List Skills
SECTION 4. EMPLOYMENT HISTORY (INCLUDE MILITARY HISTORY)
Current/Most recent job
Organization*
Position*
Location*
Supervisor*
Type of position*

Full TimePart Time
Hours/Week*
1. Major Activities*
2. Major Activities*
From (MM/YYYY)*
To (MM/YYYY)*
Machines / Equipment used*
Second Job
Organization
Position
Location
Supervisor
Type of Positon

Full TimePart Time
Hours/Week
1. Major Activities
2. Major Activities
From (MM/YYYY)
To (MM/YYYY)
Machines / Equipment used
I declare that any statement in this application or information provided herein or during the interview process is true and complete, and I acknowledge that I have read and understand the information below. Submission of false data may be grounds for dismissal.
If you do not submit a Diploma/GED and School Transcript at this time, you will eventually be required to submit one at a later point in order to be considered for an apprenticeship.
Diploma/GED

Cancelof
School Transcript

Cancelof
Optional File Upload

Cancelof
Signature*

Clear
Date*

MonthDayYear
Date
The Committee reserves the right to verify information provided in the Application. In connection with this Application for employment, I authorize the Joint Apprenticeship committee to conduct an inquiry into any job-related information contained in this application, including, but not limited to my records maintained by an educational institution relating to academic performance such as transcripts. Moreover, I release the Committee from any and all liability of whatsoever nature by requesting such information from any person.
The Committee reserves the right to verify information provided in the Application. In connection with this Application for employment, I authorize the Joint Apprenticeship committee to conduct an inquiry into any job-related information contained in this application, including, but not limited to my records maintained by an educational institution relating to academic performance such as transcripts. Moreover, I release the Committee from any and all liability of whatsoever nature by requesting such information from any person.*

YesYes, but not with present employer until job offered.No (Note: We may be unable to accept you without this information
Name and phone number of current or immediately previous supervisor who may be contacted as an employment reference:*
Should be Empty:

Apprenticeship Application

APPLICATION FOR APPRENTICESHIP

I HAVE READ AND UNDERSTAND THESE EMPLOYMENT CONDITIONS AS REQUIRED BY THIS OCCUPATION (Please see page 2 of paper application)

Personal Data

Current/Most recent job

Second Job