TESTING

Info:

First name:*
Middle name:
Last name:*
Date of birth:*
SSN:*
Drivers license number:*
Region:*
Veteran:
Street:*
City:*
State:*
Zip code:*
Primary phone number:
Secondary phone number:
Email:*
Apprentice type:

Answers:

Choose What type of apprenticeship you are applying for? (PICK ONE)*

Choose ALL AREAS THAT YOU ARE WILLING TO WORK (Read previous Instructions)*

How did you first hear about the Sheet Metal workers Apprenticeship Training Program? Please Select one*

If you picked other as a response on the previous question please tell us what Other is

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Are you Currently a Local 104 member*

If you picked yes on the previous question what classification of membership do you currently hold?

Have you ever been a Local 104 member*

If you picked yes on the previous question what year(S) were you a member?

Are you 18 years of age or older? If you are under 18, parent or guardian will be required to come to the training center to sign a consent form*

Would you be willing to work as a Pre- Apprentice?*

You must be physically able to perform the work of the trade as indicated in the Essential Functions Job Analysis. Have you read the Essential Functions Job Analysis?*

Applicant Signature: ( read previous instructions)*

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Application Date: (Read previous instructions)*

A.Gender

B. Ethnic or Race Derivation (CHECK ONLY ONE) (Read Previous Instructions)