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.