Philadelphia and Delaware Apprenticeship Application

All fields marked with an * indicate a required answer. Collection of demographic data (including age, gender, race, ethnicity) is strictly for the purposes of compliance with Department of Labor regulations fostering equal opportunity in apprenticeship programs by prohibiting discrimination based on race, color, religion, national origin, sex, sexual orientation, age (40 or older), genetic information, and disability.

Personal Information: Prefix:
First name:*
Middle name:
Last name:*
Suffix:
Date of birth:*
SSN:*
Gender:
Race/Ethnicity (please choose which best describes you):*
Veteran:
Street:*
Street 2:
City:*
State:*
Zip code:*
Primary phone number:*
Email:*
Apprentice type:*

Previous Last Name(s)

Hair Color*

Eye Color*

Referral Sources:

Please indicate how you discovered this application period.*

Referral Name Please indicate the name of the referral source. If none type NONE in the box*

Questions:

Do you have documentation to legally work in the United States?*

Did you receive an honorable discharge or general discharge?
Comment on my response

Do you have reliable transportation?*

Do you have a valid drivers license?*

Are you available to attend evening classes?*

Have you made application with us before?*
Comment on my response

Are you able to climb and work from ladders, scaffolds, or lifts of various heights?*

Can you crawl and work in confined areas such as mechanical rooms, ceilings, attics and crawlspaces?*

Are you able to read and understand English?*

Are you able to hear and understand verbal warnings given in English?*

Are you physically and mentally able to safely perform the work of this trade, either with or without reasonable accommodations?*

Education History:

High School*

City*

State*

Highest Grade Completed*

What math or relevant subjects have you achieved?

Additional Schooling

Subject or Major

How long?

Completed?

References:

Name*

Address:*

City:*

State*

Zip Code:*

Phone Number:*

Years Acquainted:*

Name*

Address:*

City:*

State*

Zip Code:*

Phone Number:*

Years Acquainted:*

Name*

Address:*

City:*

State*

Zip Code:*

Phone Number:*

Years Acquainted:*

Current Employer Name*

Address:*

City:*

State*

Zip Code*

Contact Name*

Contact Phone Number*

May we contact this firm?*
Comment on my response

How long at current job?*

Explain your position held and duties*

Employment History:

Previous Employer Name:

Address:

City:

State

Zip Code

Contact Phone Number

May we contact this firm?
Comment on my response

How long at previous job?

Position Held

Essay Questions:

1) Please explain briefly your knowledge of unions and their importance in society, if any.*

2) Assume you just completed a vigorous four year apprenticeship with the Sheet Metal Workers Union and several thousand dollars has been spent on your education. What do you believe would be your responsibilities to return to the industry?*

3) Please write a short statement as to why you desire to be an apprentice in the Sheet Metal Industry.*

Statements of Understanding:

By signing your electronic signature below you are indicating understanding, and to state that, to the best of your knowledge, all information provided on this form is true and accurate. I hereby grant permission to all references listed to disclose any information concerning my past employment and/or qualifications. I agree that any false statements made by me in this application shall constitute grounds for disqualification of my selection or grounds for my discharge, if false information is discovered after being selected for apprenticeship. I hereby apply for an apprenticeship indenture with this sponsor and agree that if selected, I will abide by all Standards, Rules, and Policies covered by the indenture (Apprenticeship Agreement).

I understand that it is my responsibility to see that all High School transcripts and other required documents are provided in a timely manner in order to complete my application. You must appear in person at the Training Center on the specified week of application acceptance between the hours of 8:00 am-12:00 pm and 1:00 pm through 4:00 pm to hand in your paperwork and register for the aptitude test. Bring the following items with you: High School or GED Transcripts, Birth Certificate, Social Security Card, Two forms of ID, $10 Blank Money Order*

Signature*

Signature Date*