IW 380 APPLICATION FOR APPRENTICESHIP

APPLICATION FOR APPRENTICESHIP

THIS FORM MUST BE COMPLETED IN ITS ENTIRETY BY THE APPLICANT
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
NAME CHANGE: Please provide the name that will appear on documents or transcripts that you submit, if it is different than your present name: PREVIOUS NAME:
Do you have a valid drivers license?
Drivers License Number
State
Expiration Date

MonthDayYear
Date
Are you able to legally work in the United States?
Education

You Must Supply All Transcripts As Required
How many years of formal education have you completed?
Are you a High School Graduate?
If no do you have a GED?
Name of High School attended?
Address of High School attended:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of graduation:

MonthDayYear
Date
List the Degree's you have earned along with your major and school:
Did you satisfactorily complete and receive credit for Algebra I (or some higher math) in high school or in a post high school institution?
Have you completed a registered Pre-Apprenticeship Program?
If yes, list the program
Did you ever participate in any kind of vocational technical training during or after high school?
If Yes, How long was the program?
Months
Describe the program:
Did you complete the program?
Did you ever participate in any kind of school-to-work (co-op education) program when you were in school?
If yes, describe the program.
Did you obtain full time employment (placement) in a related field upon completion of the program?
Backround
Have you served in the US Military?
If yes, how long?
months
What Branch?
What Military school did you complete, if any?
What type of discharge did you receive?
Do you have ironwork experience?
Do you have experience in any kind of construction work?
Do you have any experience in any ironwork related field?
Have you ever applied for apprenticeship in any other trade?
If yes, how many times?
If yes, what year(s)?
Have you ever applied for apprenticeship in any other trade?
Have you participated in an apprenticeship of any kind?
If yes, what apprenticeship?
Are you currently serving an apprenticeship?
If yes, list the employer or apprenticeship sponsor?
Do you have a Commercial Driver's License (CDL)?
If yes, what class CDL do you have?
Interest
How did you learn about this program?

Other
List some reasons why you are applying for this apprenticeship program:
Give a brief description of the kind of work you think is involved with this trade:
Why would you want to become an Iron Worker?
Are you physically and mentally able to safely perform or learn to safely perform the work of the trade, either, with or without reasonable accommodations?
Are you able to get to and from work at various job sites anywhere within the geographical area that this apprenticeship program covers?
Are you able and willing to attend all related classroom training as required to complete your apprenticeship?
Are you able to climb and work from ladder, scaffolds, poles, or towers of various lengths and heights?
Can you crawl and work in confined spaces such as attics, manholes, and crawl spaces?
Are you able to read and understand English?
Are you able to hear and understand verbal instructions and warnings given English?
Have you read and understand the standard rules and regulations?
Are you presently employed?
If yes, do you request that we not contact your present employer?
LIST ALL EMPLOYERS. BEGIN WITH YOUR PRESENT OR MOST RECENT EMPLOYER. PROVIDE DATES (FROM AND TO) TO SHOW HOW LONG YOU WERE EMPLOYED WITH EACH EMPLOYER.
(1) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give a job title, describe work performed and indicate reason for leaving:
(2) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(3) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(4) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(5) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(6) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(7) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(8) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(9) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
(10) Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Give job title, describe work performed and indicate reason for leaving:
Describe the work performed if so:
Did you have any part-time or summer jobs while attending school?
References
Please provide three references with name, address, and phone number that we will be able to contact.
Statements of Understanding
I understand all the above and state that, to the best of my knowledge, all information provided on this form is true and acurate. I hereby grant permission to all former employers and references listed to disclose any information concerning my past employment and/or qualifications. I agree that any false statement made by me in this application shall constitute grounds for disqualification of my selection, or grounds for my discharge if false information is discovered after being selected for apprenticeship.

I hereby apply for apprenticeship indenture with this sponsor and agree that if selected, I will abide by all Standards, Rules, and Policies covered by the indenture (apprenticeship agreement).
Signature
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR APPRENTICESHIP

Education

Backround

Interest

References

Statements of Understanding