WINC Pre-Apprenticeship Application

WINC Pre-Apprenticeship Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Age
Gender
Pronouns

Other
Race
Ethnicity
Veteran Status: Have you ever served in active duty in the U.S. military, naval or air service, National Guard or Reserves?
Currently Employed?
Work History (add up to three)
Boot Size
How many children under 18 live with you?
Do you have a valid driver's license?
Do you Have Reliable Transportation? Choose as many as you like:

Other
High School Diploma/GED
Highest Level of Education

Other, Explain:
Trade of Interest (Write Unsure if you don’t know):
How did you hear about the WINC-Tradeswomen Readiness Program?
Have you ever completed a job training program?
If so, Name & Date:
Have you attended a blue-collar pre-apprenticeship or apprenticeship program?
If so, Name & Date:
Do you have any physical limitations that will prevent you from working in the construction industry?

Yes, please describe:
Emergency Contact
Emergency contact first name
Emergency contact last name
Emergency contact phone number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency contact email
example@example.com
Emergency contact company
Do you have high speed internet at home?
Are you able and willing to complete drug screenings?
By completing and signing, I hereby agree that all information on this application is accurate.
Signature
Mandatory Orientation

You must attend a mandatory orientation to be considered for the program. In-person orientation is at 2190 Hornig Road, Philadelphia, PA 19116.
In-person orientation
Monday, June 1st at 10 am. Please finalize your orientation session here.
Tuesday, June 9th at 10 am. Please finalize your orientation session here.
Friday, June 19th at 10 am. Please finalize your orientation session here.
Monday, June 22nd at 10 am. Please finalize your orientation session here.
Should be Empty:

WINC Pre-Apprenticeship Application

Emergency Contact

Mandatory Orientation