IW 46 APPRENTICESHIP Application

APPRENTICESHIP QUESTIONNAIRE

Ironworkers Local Union 46
Please answer all questions. Write "none" when applicable.
Name

First NameLast Name
Cell Phone
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Valid Driver's License
Driver's License: State Issued
Driver's License Expiration Date

MonthDayYear
Date
Height
Weight
Sex
Race
Date of Birth

MonthDayYear
Date
Place of Birth
Marital Status
U.S. Citizenship
Military Service
If Yes, Explain
What Type of Discharge
Last 4 Digits SSN
Education (List all schools above elementary and, any pre-apprentice programs attended)
Name of School or Program
City/State
From: (Year) to (Year)
Degrees
Name of School or Program
City/State
From: (Year) to (Year)
Degrees
Name of School or Program
City/State
From: (Year) to (Year)
Degrees
Name of School or Program
City/State
From: (Year) to (Year)
Degrees
Employment (List present or last employer first)
Name of Present or Last Employer
Dates of Employment (mo/yr to mo/yr)
Type of Work
City/State
Reason Left
Name of Employer 2
Dates of Employment (mo/yr to mo/yr)
Type of Work
City/State
Reason Left
Name of Employer 3
Dates of Employment (mo/yr to mo/yr)
Type of Work
City/State
Reason Left
Any additional Employment, Trainings, Certifications that may be relevant
References (Name 3 people, not relatives or employers, who are well acquainted with you)
Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Years Known
Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Years Known
Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Years Known
Have you ever been convicted of a felony? (NOTE: Prior criminal offenses will NOT disqualify you from our program)
If Yes, please explain.
To your knowledge, have you ever been investigated by any branch of the Federal Government?
If Yes, please explain.
Have you read the Apprenticeship Standards for the trade?
If a minor, have your parents or guardian read the Standards?
If accepted and indentured, will you willingly carry out your part of the agreement?
Reason(s) for choosing this trade
How did you hear about open applications for our apprenticeship program?
CERTIFICATION
I have read all of the above questions. 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 Training 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.
(Signature of person completing questionnaire)
(Signature of parent or guardian, if minor)
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 apprentice in the International Association of Bridge, Structural, Ornamental, and Reinforcing Iron Workers.
Sign Here
COMPLAINT PROCEDURE

Title 29, 30, CFR Section 30.11 (a) and (b)

Any apprentice or applicant for apprenticeship who believes that he or she has been discriminated against on the basis of race, color, religion, national origin, or sex, with regard to apprenticeship, or that the equal opportunity standards with respect to his or her selection have not been followed in the operation of an apprenticeship program, may personally or through an authorized representative, file a complaint with the Department of Labor. The complaint must be filed no later than 180 days from the date of the alleged discrimination or specified failure to follow the equal opportunity standards. The complaint shall be in writing and shall be signed by the complainant. It must include the name, address and telephone number of the person allegedly discriminated against, the program sponsored involved, and a brief description of the circumstances of the failure to apply the equal opportunity standards.
I CERTIFY THAT I HAVE RECEIVED A COPY OF THE COMPLAINT PROCEDURES IN ACCORDANCE WITH TITLE 29 CFR 30, SECTION 30.11 (a) AND (b).
SIGNATURE
DATE

MonthDayYear
Date
**After submitting your application, you will be brought to a thank you page. Do not exit out of the thank you page right away, there's important information regarding next steps for you to read.**
Should be Empty:

APPRENTICESHIP QUESTIONNAIRE

Education (List all schools above elementary and, any pre-apprentice programs attended)

Employment (List present or last employer first)

References (Name 3 people, not relatives or employers, who are well acquainted with you)

I CERTIFY THAT I HAVE RECEIVED A COPY OF THE COMPLAINT PROCEDURES IN ACCORDANCE WITH TITLE 29 CFR 30, SECTION 30.11 (a) AND (b).