YA: Plumbers & Steamfitters Local 400

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An Equal Opportunity Employer: All signatory contractors are equal opportunity employers. This application will be forwarded to them for employment consideration. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.
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Contact Person:

Nick Johnsen

(920) 462-0412

NJohnsen@400JATC.org
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Date
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Month
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Year
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First Name* This field is required.
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Middle Initial
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Last Name* This field is required.
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Street Address* This field is required.
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City* This field is required.
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State* This field is required.
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Zip Code* This field is required.
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Phone Number* This field is required.
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Email* This field is required.
example@example.com -- please check for typos!
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Are you currently a student, at least 16 years of age, enrolled at a school with a work-based learning program sponsored by an accredited school, the technical college system or Department of Workforce Development’s Youth Apprenticeship Program?* This field is required.
Yes
No
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Do you have reliable transportation to and from work?* This field is required.
Yes
No
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What date are you available to start work* This field is required.
Date
Month
Day
Year
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Seasonal Availability* This field is required.
Full-Time, summer employment
Part Time, School Year Employment (indicate the hours you are available to work below)
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Hours Available
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Please list any responsibilities and/or obligations that you have after normal school hours (ie Sports, Work, Clubs, Community Activities)
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Parent First Name* This field is required.
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Parent Last Name* This field is required.
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Parent Phone Number* This field is required.
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Parent Email Address* This field is required.
example@example.com
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Name of High School* This field is required.
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School Phone Number* This field is required.
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School’s Youth Apprenticeship Program Administrator* This field is required.
Youth Apprenticeship Coordinator
Guidance Counselor
Other
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Guidance Counselor Name
First Name
Last Name
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YA Coordinator Name
First Name
Last Name
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Program Administrator Name
First Name
Last Name
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Program Administrator Phone Number* This field is required.
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Program Administrator Email* This field is required.
example@example.com
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Please select desired Youth Apprenticeship below* This field is required.You may choose more than one.
Pipe Welding (Fabrication Shop)
HVAC Service
Steamfitter
Plumber
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Please list any volunteer or community service activities you have participated in (school, community, etc.).
Activity
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Date(s) of Service
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Please list any educational courses, training programs, and/or work experiences you have which may aid in evaluating your application for the youth apprenticeship program.
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Please explain why you are applying for the Youth Apprenticeship Program. (Minimum of 2 paragraphs in length.) A successful essay will include information as to why a youth apprenticeship will contribute to your overall academic and future career goals. You may also want to share the related/technical coursework you have taken in your apprenticeship area of interest.
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Signature
Clear
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A minimum of one (1) formal letter of recommendation from a non-relative instructor, school staff member, counselor, principal or current employer must accompany your Youth Apprenticeship Application. Upload here or email to NJohnsen@400JATC.org. **If you receive an error message upon submission, use the back arrow, remove your upload, and email the document to NJohnsen@400JATC.org instead.**
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You will be receiving a confirmation email within 1 business day of submission from Nick Johnsen in our Education Program: njohnsen@400jatc.org.

{name}; check your inbox and/or spam email messages. If you do not receive the email, please call 920-462-0412.
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