Central Oregon Sheet Metal Worker Apprenticeship Program

Central Oregon Industrial Maintenance Millwright Apprenticeship Program

This apprenticeship program is a 4 year program that provides students experience and training necessary to earn the Limited Maintenance license.
To complete this application, you must be able to upload the following documentation:
- Proof of age
- Proof of High School graduation or GED
- Proof of minimum math requirement
Applicant Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Provide proof of age, birth certificate, drivers license or other document. (Required)*

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gender*
Race*

American Indian / Alaska NativeAsianBlack / African AmericanNative Hawaiian / Other Pacific IslanderWhite
Hispanic / Latinx*

YesNo
Military Service*

VeteranReservesGuardNone
Please attach you DD-214 if you are interested in using your VA benefits. (Optional)

Cancelof
Education*

GEDHigh School Diploma
Provide proof of high school graduation (transcript or Diploma) or GED. (Required)*

Cancelof
Highest Grade Completed High School (HS) / College (C)*

HS 9th GradeHS 10th GradHS 11th GradeHS 12th GradeC 1 yearC 2 yearsC 3 yearsC 4 years
ALEGEBRA (MINIMUM MATH REQUIREMENT) - Completion of one year of high school algebra with a "C" or higher or equivalent math placement score of Algebra 2. (Required)*

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Disability*

YesNoDecline to Disclose
Invitation to Self Identify as an Individual with a Disability. (Optional)

Cancelof
This information is collected for informational purposes only. It is unlawful for a program or employer to discriminate against apprenticeship applicants or apprentices based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, genetic information, or because an individual with a disability or a person 18 years or older
Central Oregon TATC 7004 will not discriminated against apprenticeship applicants or apprentices base on RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX (INCLUDING PREGNANCY AND GENDER IDENTITY), SEXUAL ORIENTATION, GENETIC INFROMATION, OR BECASUE THEY ARE AN INDIVIDUAL WITH A DISABILITY OR A PERSON 18 YEARS OR OLDER

Central Oregon TATC will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticesip program as required under Title 29 of the Code of Federal Regulations, part 30
WORK EXPERIENCE

BEGINNING WITH YOUR PRESENT EMPLOYER, list the name and address of each employer for whom you have worked, including periods of military service, nature of work done, the dates of employment and the number of months involved.
Work Experience*
Work Experience*
Work Experience*
Why are you interested in this program?*
Statement of Understanding

You must initial each of the statements below to indicate you knowledge and understanding
blank* I am aware that I am responsible for keeping the program informed of any change in my address or phone number.
blank* I have read and understand the basic qualifications for entry into the program.
blank* I have been given and read the minimum qualifications for entry into the program.
blank*I understand that I must provide the documentation that provides evidence that I meet the qualifications required for entry into the program.
blank*I have been provided information detailing how applicants are accepted and placed in the program.
blank*I understand that any intentional false statements or information I have provided on the application form or any other documents shall be cause for rejection of the application or termination of my registration if I am accepted by the program.
Signature of Applicant*

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Applicant Signature Date*

MonthDayYear
Date
If minor: Signature of parent/guardian

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Parent/guardian Signature Date

MonthDayYear
Date
Should be Empty:

Central Oregon Industrial Maintenance Millwright Apprenticeship Program

Applicant Information

WORK EXPERIENCE

Statement of Understanding