ARKANSAS OJTSS

OJT Referral Interest Questionnaire
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Last
First
MI
Address

Street Address

Street Address Line 2

CityState

Zip Code
County
Phone Number
Format: (000) 000-0000.
Email
example@example.com
1. How did you hear about the OJT program?
2. Do you have prior experience in the construction industry? If yes, please provide information regarding your experience.
3. What type of On theJob Training in the construction industry interests you?
4. Have you ever participated in an OJT Program in the past? If yes, please provide information regarding your experience.
5. Are you willing to travel the state of Arkansas? If not, specify location(s) you are willing to work.
6. Do you have reliable transportation?
Signature
Should be Empty:

OJT Referral Interest Questionnaire