Apprentice Program Application
Plumbers & Pipefitters Apprenticeship Training of Kansas
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What Zone are you applying for? Select one:
*
Frontenac
Lawrence
Topeka
Wichita
Required Documents
You must provide a copy of the following:
Birth Certificate
*
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Social Security Card
*
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High School Diploma or GED or Homeschool Diploma
*
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of
Current Driver's License or State Issued ID
*
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of
Qualifications
Do you have an Associate's degree?
Yes
No
Do you have your OSHA 10 certification completed?
Yes
No
Have you served in the U.S. Armed Forces, including discharge or release from active duty under honorable or general conditions?
Yes
No
Do you have experience working in a customer service role?
Yes
No
If so, how many year(s) experience?
Do you have experience working in a trade role other than the specific trade(s) on which the local is focused?
Yes
No
If so, how many year(s) experience?
For Plumber applicants only:
Do you have experience working as a contractor for a plumbing business?
Yes
No
If so, how many year(s) experience?
For Pipe Fitter/Welding applicants only:
Do you have experience working as a contractor for a pipe fitting and/or welding business?
Yes
No
If so, how many year(s) experience?
For HVAC applicants only:
Do you have experience working as a contractor for a HVAC business?
Yes
No
If so, how many year(s) experience?
Please read the following documents for further information on the Application Process Steps and Applicant Selection Process.
Date Signed
-
Month
-
Day
Year
Date
Signature
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Submit
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