Apprenticeship Application - Sprinkler Fitters Local 183 Milwaukee

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Personal Information

Name*

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Email*

Mobile Phone*

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Address*

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Are you 18 or older?*

Yes

Date of Birth*

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Military service?*

Yes

Branch*

Length of Service*

Type of Discharge*

Date of Discharge*

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Attach Military Document

Transfer or discharge form DD-214, if applicable

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Are you a veteran?*

Yes

War*

How did you hear about this position?*

Date available*

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Prior Work Experience

Current or Most Recent

Employer*

Immediate Supervisor

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Address

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Start Date*

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End Date*

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Position/Job Title*

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Reason for Leaving*

May We Contact?*

Yes

Prior

Employer*

Immediate Supervisor

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Street Address Address Line 2 City State ZIP Code

Start Date*

MM slash DD slash YYYY

End Date*

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Position/Job Title*

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Reason for Leaving*

May We Contact?*

Yes

Prior

Employer*

Immediate Supervisor

Phone

Address

Street Address Address Line 2 City State ZIP Code

Start Date*

MM slash DD slash YYYY

End Date*

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Position/Job Title*

Pay

Reason for Leaving*

May We Contact?*

Yes

Education

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College/University

Name/Location

Last Year Completed

Degree

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Trade School

Name/Location

Last Year Completed

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G.E.D.

Name/Location

Last Year Completed

Degree

Major or Emphasis

List any applicable special skills, training or proficiencies*

Consent*

I, the Undersigned, have read, understand, and agree to abide by the qualifications and requirements for a probationary apprenticeship.

Qualifications necessary for an applicant to be considered for a probationary pipe trades apprenticeship:

1. Must be 18 years of age. (see Section I11-8-2-Qualifications of Applicants for Apprenticeship in the National GuIideline Standards of Apprenticeship):
2. Complete this application and submit with the following:
• Birth certificate or other such document for proof of age.
• High School diploma and transcript or high school equivalency (GED) certification and
Official report of test results.
• Military transfer or discharge Form DD-214, if applicable:
3. Appear for interview when notified.

If you are accepted for a probationary apprenticeship you will be required to:

1. Serve as a probationary apprentice for a period of 1 year (1700-2000 hours of on-the-job training):
2. Serve a 5 year apprenticeship including the probationary period (8500-10000 hours of on-the-job training);
3. Report for work on a regular basis;
4. Provide for your transportation to and from the job site;
5. Work under the direction of a Journey Worker on the job site and perform job duties satisfactorily;
6. Attend related training classes regularly and maintain an acceptable average in those classes;
7. Purchase text material for use in related training classes as required;
8. Abide by all rules and regulations of the Joint Apprenticeship and Training Committee.

Attach Documents

Birth certificate, transcripts/GED, ACCUPLACER/ACT scores, etc.

Drop files here or

Max. file size: 25 MB.

Signature*

Disclaimer: By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

EEOC Supplemental Information

The Apprentice Sponsor is committed to equal opportunity for all applicants. The recruitment, selection, employment and training of apprentices during their apprenticeship, shall be without discrimination because of race, color, religion, national origin, sex, age, creed, handicap, marital status, ancestry, sexual orientation, arrest record, conviction record, or membership in the military forces of the United States or this state. The sponsor will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as requires under title 29 of the code of Federal Regulations, Part 30, the Wisconsin Fair Employment Law, and all other applicable state laws.

This information provided below is simply for Equal Employment Opportunity Commission {EEOC) purposes. This information will assist us in our efforts to provide accurate information in compliance with EEOC regulations and requirements.

Race

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White

Black

Asian

American Indian or Alaskan Native

Hawaiian/Pacific Islander

Ethnic Group

Not Hispanic or Latino

Origin Hispanic or Latino

Gender

Male

Female

This form will not become part of your Personnel file. It will be maintained in a separate file, used only for EEOC and Affirmative Action reporting purposes.