Basic Information:

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* 1. Application Date

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* 2. Name

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* 4. Address

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* 5. Primary Phone

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* 8. Social Media Username

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* 9. Date of Birth:

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* 10. Upload Birth Certificate

Demographic Information:

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* 11. Sex:

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* 12. Military Status:

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* 13. Marital Status:

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* 14. Ethnicity:

Education & Authorization:

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* 15. Are you authorized to work in the United States?

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* 16. Highest Level of Education (Grade Level or Degree):

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* 17. Do you have a High School Diploma or a GED/HISET certificate?

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* 19. If yes, what was the name of the program/organization?

Licensing & Background:

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* 20. Do you have a Driver's License?

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* 21. If no, are you willing and able to get a Driver's License?

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* 22. Upload State ID and/or Drivers License

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* 23. Have you ever been convicted of a felony?

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* 24. If yes, was it a violent felony?

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* 25. Have you been convicted of a misdemeanor (excluding traffic violations) in the last 7 years?

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* 26. Have you been on probation in the last 10 years?

Drug Testing:
Some apprenticeship programs/employers require you to be drug-free. In those cases, they will require that you can pass a drug test showing no substances in your system for the previous 30 – 120 days. Will you be able to pass a drug test?

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* 27. Yes
No

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* 28. Are you willing to take a drug test while in the program?

Transportation & Program Requirements:

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* 29. How will you get to a training or work site?

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* 30. Can you effectively participate in training delivered in English?

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* 31. If interested in the electrical trades, do you have one year of high school level Algebra 1 or equivalent with a grade of "C" or better?

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* 32. Are you able to meet the time requirement of the program?

Trade Interests:

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* 33. Are there specific trades you're interested in pursuing?

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* 34. If yes, which trade(s):

Employment History:

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* 35. Have you worked in the construction industry before?

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* 36. Are you currently employed by this employer?

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* 37. What is your current employment status?

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* 38. If unemployed, have you been actively looking for work?

Enter the information from your current or most recent employer:

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* 39. Employer Name

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* 40. Employment Dates

Date
Date

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* 41. Employer Address

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* 42. Job Duties:

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* 43. Hours Worked per Week

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* 44. Does this job meet your needs? Why or why not?

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* 45. Reason for Leaving

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* 46. Was this your primary employment?

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* 47. Were you self-employed?

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