Pre-Apprenticeship Program Application Basic Information: Question Title * 1. Application Date Question Title * 2. Name Question Title * 3. Email Question Title * 4. Address Question Title * 5. Primary Phone Question Title * 6. Primary Phone Type Cell Business Home Other (please specify) Question Title * 7. Social Media Type Instagram Facebook Linkedin TikTok Other (please specify) Question Title * 8. Social Media Username Question Title * 9. Date of Birth: Question Title * 10. Upload Birth Certificate Demographic Information: Question Title * 11. Sex: Male Female Non-Binary Prefer Not To Answer Question Title * 12. Military Status: Active Military Veteran None Question Title * 13. Marital Status: Married Single Divorced Other Question Title * 14. Ethnicity: American Indian or Alaskan Native Asian Black/African American Latino/Hispanic Hawaiian or Pacific Islander White, Non-Hispanic Education & Authorization: Question Title * 15. Are you authorized to work in the United States? Yes No Question Title * 16. Highest Level of Education (Grade Level or Degree): Question Title * 17. Do you have a High School Diploma or a GED/HISET certificate? Yes No Question Title * 18. Have you participated in a pre-apprenticeship training program before? (Required.) Yes No Question Title * 19. If yes, what was the name of the program/organization? Licensing & Background: Question Title * 20. Do you have a Driver's License? Yes No Question Title * 21. If no, are you willing and able to get a Driver's License? Yes No Question Title * 22. Upload State ID and/or Drivers License Question Title * 23. Have you ever been convicted of a felony? Yes No Question Title * 24. If yes, was it a violent felony? Yes No Question Title * 25. Have you been convicted of a misdemeanor (excluding traffic violations) in the last 7 years? Yes No Question Title * 26. Have you been on probation in the last 10 years? Yes No 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? Question Title * 27. YesNo Yes No Question Title * 28. Are you willing to take a drug test while in the program? Yes No Transportation & Program Requirements: Question Title * 29. How will you get to a training or work site? Reliable car Reliable ride Bus Train/Subway No reliable transportation Question Title * 30. Can you effectively participate in training delivered in English? Yes No Question Title * 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? Yes No Question Title * 32. Are you able to meet the time requirement of the program? Yes No Trade Interests: Question Title * 33. Are there specific trades you're interested in pursuing? Yes No Question Title * 34. If yes, which trade(s): Boilermakers Bricklayers Carpenters Cement Masons Ceramic Tile Layer/Finisher Drywall Finisher Electrician Elevator Constructors Glaziers Heat & Frost Insulators Iron Workers Laborers Machinery Movers, Riggers & Erectors Millwrights Operating Engineer Painter Pipefitter Plasterers Plumbers Roofer/Waterproofer Sheet Metal Worker Sprinklerfitters Structural Iron Worker Teamsters Technical Engineer Tuckpointer Employment History: Question Title * 35. Have you worked in the construction industry before? Yes No Question Title * 36. Are you currently employed by this employer? Yes No Question Title * 37. What is your current employment status? No work history Employed Employed and have received notice of termination/layoff Unemployed Question Title * 38. If unemployed, have you been actively looking for work? Actively looking for work Have not been actively looking for work Enter the information from your current or most recent employer: Question Title * 39. Employer Name Question Title * 40. Employment Dates Start Date Date End Date Date Question Title * 41. Employer Address Question Title * 42. Job Duties: Question Title * 43. Hours Worked per Week Question Title * 44. Does this job meet your needs? Why or why not? Question Title * 45. Reason for Leaving Question Title * 46. Was this your primary employment? Yes No Question Title * 47. Were you self-employed? Yes No Next