DATE _______________________                                                   APPLICATION NO.________________

 

APPLICATION FOR SHEET METAL APPRENTICESHIP

Sheet Metal Joint Apprenticeship Committee

 

            For Dept. of Labor Use:

 

Male    ____    Female    ____

 

White___         Black___         Hispanic___

 

Asian or Pacific Islander___

 

American Indian or Alaskan Native___

 

 

 

 

 

 

 

 

 

 

 Please Print

 

   Name _______________________________________________________________________________

                      Last                                                First                                      Middle

  Address _____________________________________________________________________________

                   Number                  Street                  City                          State                     Zip Code

 

  Telephone Home (         )________________Cell Phone or Second Number(          )_________________

 

  How long have you lived in this area?_______   Are you 18 years of age or older? Yes ____   No _____

 

  Height  ________Weight__________ Social Security Number _______________________________

 

  Have you completed an application for Sheet Metal Workers #3 before? Yes ____   No ____

  if yes, approximately how long ago?___________________________

 

   Are you registered for the draft? Yes ____    No_____     Are you a U.S. citizen? Yes ____   No _____

 

   Who referred you to this committee?_____________________________________________________     

 

COMPLETE THE FOLLOWING:

  Do you own your own home? Yes ___   No___   Buying home? Yes ___   No___   Renting? Yes ___ No__

  Do you live with family?   Yes ____   No ____     Do you own a car?   Yes ____       No_____

  Married ____      Single ____       Divorced ____         Widowed ____

  Does your spouse work?  Yes _____       No ______      N/A_______

  Number of children?_____________ N/A _______        Ages? ______________________    N/A   _____

  Number of dependents other than spouse and children?_______________  N/A _______

  

 

 

 

 

 

 

Military Service:

 

Branch of service _____________________ Date entered________________ Date discharged___________

Did you receive an honorable discharge? Yes _____        No _____

Responsibilities:__________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

 

 

EDUCATION

 

What subjects interested you most in school?________________________________       Least?________________

 

 

TYPE

 OF SCHOOL

 

Name

 and

address

 

Dates

 

 

degree or

diploma

 

major

 

 

 

gpa

 

 

                         High School

 

 

 

 

 

_____ YES

_____ NO

_____ GED

 

 

College

 

 

 

 

 

 

 

 

Trade School

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

PROFESSIONAL AND PERSONAL (OTHER THAN FAMILY) REFERENCES

___

NAME

AND

ADDRESS

 

OCCUPATION

 

RELATIONSHIP

 

PHONE NUMBER

1.

 

 

 

Work: (     )

Home: (     )

2.

 

 

 

Work: (     )

Home: (     )

3.

 

 

 

Work: (      )

Home: (      )

 

 

 

 

 

EMPLOYMENT EXPERIENCE

 

List your last four (4) employers starting with the most recent

 

Starting Date:_____________ Ending Date: _________________

Company:_________________________________________________________________________________

Address:___________________________________________________________________________________

Phone: Area Code (        )__________________Supervisor:___________________________________________

Type of Business:____________________________________________________________________________

Salary (hour_____, week ____, Monthly_____): _________________

Responsibilities:______________________________________________________________________________

__________________________________________________________________________________________

May we contact this employer Yes ___   No ____ Reason for leaving? _______________________________

_________________________________________________________________________________________

 

Starting Date:_____________ Ending Date: _________________

Company:_________________________________________________________________________________

Address:___________________________________________________________________________________

Phone: Area Code (        )__________________Supervisor:___________________________________________

Type of Business:____________________________________________________________________________

Salary (hour ____, week ____, monthly ____): _________________

Responsibilities:______________________________________________________________________________

__________________________________________________________________________________________

May we contact this employer Yes ___   No ____   Reason for leaving?________________________________

__________________________________________________________________________________________

 

 

 

 

 

 

Starting Date:_____________ Ending Date: _________________

Company:_________________________________________________________________________________

Address:___________________________________________________________________________________

Phone: Area Code (        )__________________Supervisor:___________________________________________

Type of Business:____________________________________________________________________________

Salary (hour ____, week ____, monthly ____): _________________

Responsibilities:______________________________________________________________________________

__________________________________________________________________________________________

May we contact this employer Yes ____   No _____ Reason for Leaving? ______________________________

_________________________________________________________________________________________

 

Starting Date:_____________ Ending Date: _________________

Company:_________________________________________________________________________________

Address:___________________________________________________________________________________

Phone: Area Code (        )__________________Supervisor:___________________________________________

Type of Business:____________________________________________________________________________

Salary (hour ____, week ____, monthly ____): _________________

Responsibilities:______________________________________________________________________________

__________________________________________________________________________________________

May we contact this employer? Yes ___   No ___  Reason for leaving? _________________________________

__________________________________________________________________________________________

 

Please request additional paper to list all other employers if needed or use the back side of the last page.

 

 

 

 

 

Do you have a valid driver's license? Yes ___    No ___    Has it ever been suspended? Yes ____    No____

 if yes, when?__________________________

 

Are you prepared to attend school on your own time regardless of what days or nights of the week you, are

Requested, to attend? Yes ____     No ____

 

Are you willing, on your own time, to attend any meeting set up by this committee? Yes ____   No _____

 

Do you realize it is impossible to guarantee full employment in the sheet metal industry? Yes ____   No____

 

Please state the beginning wage for apprentices?_____________________________________________________

 

Do you realize that increases in pay are not automatic but depend on the progress made by apprentices in shop

and school? Yes ___    No ____

What are your feelings on this? _________________________________________________________________________________________

_________________________________________________________________________________________

 

Have you previously made application for apprentice training in any trade? Yes ____    No _____

When?_______________________    Where?______________________    What Trade?____________________

 

Please explain below why you would like to serve an apprenticeship and become a sheet metal journeyman.

 

 

 

 

Applications will remain active for 6 months. (Application will remain active for 2 yrs following an interview,

resulting placement, on the ranking list.)

Any false statement made on this application will result in immediate disqualification.

If my application is accepted, I agree to comply with all rules and regulations as adopted by the Sheet Metal

Joint Apprenticeship Committee. 

 

 I hereby agree to allow the J.A.T.C. to photocopy my driving license and Social Security Card.

                                                                                                                        ____________ (Initials)

 If selected you may be subjected to a physical and/or drug/alcohol exam.

                                                                                                                        ____________ (Initials)

I hereby agree to allow the J.A.T.C to run a background check at any time

                                                                                                                         ___________(Initials)

 

 

                                                __________________________________________

                                                                                          Signature

                                                To the best of my knowledge, all statements made by me are true and correct.

 

 

 

 

 

REGISTRATION FORM

FOR APPLICATION FOR SHEET METAL APPRENTICESHIP PROGRAM

 

 

I DO HEREBY CERTIFY THAT WHEN OBTAINING APPLICATION MATERIALS FOR THE SHEET METAL APPRENTICESHIP PROGRAM, IT IS UNDERSTOOD THAT THE RESPONSIBILITY FOR SUBMITTING THE APPLICATION AS PRESCRIBED BY THE INSTRUCTIONS GIVEN ME IS SOLELY MINE.

 

 

_____________________________________________________________

NAME

 

 

 

 

ADDRESS

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

DATE MATERIALS CHECKED OUT

 

 

 

 

SIGNATURE