SMW19 Philadelphia Training Center Upload Form
There will be a $50.00 non-refundable application fee
Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Gender
*
Please Select
Female
Male
Other
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Applicant Information
Apprentice Type
*
Please Select
Commercial Phila
Commercial DE
Race/Ethnicity
Please Select
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Prefer not to say
Hair Color
Please Select
Black
Brown
Blonde
Red
Other
Eye Color
Please Select
Brown
Blue
Green
Other
Referral Source
*
Please Select
Employment Office
News Paper
School Announcement
Walk-In
Other
Referral Name
*
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Eligibility and Work Availability
Are you legally authorized to work in the United States?
*
Please Select
Yes
No
Are you a veteran?
*
Please Select
Yes
No
Do you have reliable transportation?
*
Please Select
Yes
No
Do you have a valid driver’s license?
*
Please Select
Yes
No
Are you available for evening classes?
*
Please Select
Yes
No
Have you previously submitted an application with us?
*
Please Select
Yes
No
Can you climb and work from ladders, scaffolds, and lifts?
*
Please Select
Yes
No
Can you crawl and work in confined areas?
*
Please Select
Yes
No
Can you read and understand English?
*
Please Select
Yes
No
Can you hear and understand verbal warnings in English?
*
Please Select
Yes
No
Are you physically and mentally able to safely perform the essential duties of the job?
*
Please Select
Yes
No
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Education
High School
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Highest Grade Completed
*
Please Select
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
GED
Math / Relevant Subjects
*
Algebra 1
Algebra 2
Geometry
Trigonometry
N/A
Additional Schooling - Name
Additional Schooling - Subject / Major
Additional Schooling - Duration
Please Select
Less than 6 months
6 months to 1 year
1 to 2 years
More than 2 years
Additional Schooling Completed
Please Select
Yes
No
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References
Reference 1 Name
*
First Name
Middle Name
Last Name
Reference 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Years Acquainted
*
Reference 2 Name
*
First Name
Middle Name
Last Name
Reference 2 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Years Acquainted
*
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Employment History
Current Employer Name
*
Current Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Contact Name
*
First Name
Middle Name
Last Name
Current Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Permission to Contact Current Employer
*
Please Select
Yes, permission granted
No
How Long at Current Job
*
Please Select
Less than 6 months
6 months to 1 year
1 to 2 years
2 to 5 years
5+ years
Other
Current Position and Duties
*
Previous Employer Name
Previous Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Contact Name
First Name
Middle Name
Last Name
Previous Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Permission to Contact Previous Employer
Please Select
Yes, permission granted
No
How Long at Previous Job
Please Select
Less than 6 months
6 months to 1 year
1 to 2 years
2 to 5 years
5+ years
Other
Previous Position Held
Previous Position and Duties
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Essay Questions and Acknowledgment
What is your knowledge of unions?
*
What are your responsibilities after completing the apprenticeship?
*
Why do you want to become an apprentice?
*
Signature
*
Signature Date
*
-
Month
-
Day
Year
Date
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Document Uploads
Documents include:
Two (2) forms for Identification (i.e. Social Security Card, Drivers’ License, Passport, School ID., etc.). *
NOTE:
One must have a recent picture.
Birth Certificate.
School Transcripts, or GED with scores. *
NOTE:
if the transcripts are from a school outside of the United States or is in any language other than English, the Transcript must be officially translated to English.
Form of Identification #1
*
Upload a File
Drag and drop files here
Choose a file
(i.e. Social Security Card, Drivers’ License, Passport, School ID., etc.). One must have a recent picture. Accepted formats pdf, jpg, jpeg, png.
Cancel
of
Form of Identification #2
*
Upload a File
Drag and drop files here
Choose a file
(i.e. Social Security Card, Drivers’ License, Passport, School ID., etc.). One must have a recent picture. Accepted formats pdf, jpg, jpeg, png.
Cancel
of
Birth Certificate
*
Upload a File
Drag and drop files here
Choose a file
Accepted formats pdf, jpg, jpeg, png.
Cancel
of
School Transcripts, or GED with scores
*
Upload a File
Drag and drop files here
Choose a file
If the transcripts are from a school outside of the United States or is in any language other than English, the Transcript must be officially translated to English. Accepted formats pdf, jpg, jpeg, png.
Cancel
of
For veterans DD-214 form or military ID
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
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