JATC - Online Application

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Training Assignment Listings Legal

Notice of Exemption

GI Bill / Veteran's Affairs approved Program Fall 2017 Schedule of Classes

Program Application

Applying For
Date of Application Month
(mm) Day
(dd) Year
(yyyy)

Personal Information

Last Name
First Name
Middle Name
Address
City
State
Zip Code

Area
Home Phone
Social Security Number

NAME CHANGE: Please provide the name that will appear on documents or transcripts that you submit, if it is different than your present name.
Name Change / Last
Name Change / First

Check all that Apply

Check all that Apply to indicate Your Means of Qualifications for Apprenticeship
A. I believe I can meet all minimum qualifications for apprenticeship.

B. I can produce undisputable documentation to verify that I have at least 4,000 hours of electrical construction work experience.
C. I am currently performing electrical construction work for an electrical contractor who became signatory to a union contract.
*Name of contractor:
D. I am among the 50%, or more, who signed authorization cards while working for an electrical contractor during an organizing effort.
*Name of contractor:
E. I am attempting to qualify for, and participate in, the School-to-Registered-Apprenticeship Program.
F. I am attempting to transfer into this program from another IBEW/NECA registered apprenticeship program for the same trade.

Background

Have you served in the US military? Yes No
* If yes, how long? (in months)
* Army
* Navy
* Air Force
* Marines
* Coast Guard
* Military Reserves
List which military training schools you completed, if any.
Have you ever been convicted of a felony? (Conviction will not automatically disqualify you.) Yes No
* If yes, explain the conviction.
Do you have electrical construction work experience? Yes No
* If yes, how many months?
Do you have other construction work experience? Yes No
Do you have any electrical/electronic work experience? Yes No
Have you applied with this apprenticeship program before? Yes No
* If yes, how many times?
Are you now, or have you ever been, a registered apprentice? Yes No
* If yes, list apprenticeship sponsor or employer
* If yes, are you still an active apprentice in that program? Yes No
Do you have a valid Driver's License? Yes No

Do you have a Commercial Driver's License (CDL)? Yes No
* If yes, what class CDL do you have?

Interests and Abilities

List the main reason or reasons, you are applying for this apprenticeship program:
Are you physically and mentally able to safely perform or learn to safely perform essential functions of the job either with or without reasonable accommodations? Yes No
Are you able to get to and from work at job sites anywhere within the geographical area that this apprenticeship program covers? Yes No
Are you able and willing to attend all related classroom training as required to complete your apprenticeship? Yes No
Are you able to climb and work from ladders, scaffolds, poles and towers of various heights? Yes No
Are you able to crawl and work in confined spaces such as attics, manholes and crawlspaces? Yes No
Are you able to read, hear, and understand instructions and warnings? Yes No

Work History

A WORK HISTORY summary sheet indicating your present and previous employers will be requested at a later date.
Are you presently employed? Yes No
* If yes, do you request that we NOT contact your present employer at this time? Yes No
Did you have any part-time or summer jobs while attending school? Yes No

Do you have the legal right to work in the United States of America? Yes No

Statements of Understanding

YOU MUST check the box for each of the statements below to indicate your knowledge and understanding.

NOTE: If you need clarification on any item do not hesitate to ask.
A. I am aware that it is my responsibility to keep this program informed of any change in my address or phone number.
B. I have read and understand the basic qualifications for entry into the program.
C. I understand that I must furnish certain specific documentation to provide evidence that I meet the qualifications required for entry into the pool of eligible candidates for this apprenticeship.
D. I understand it is my responsibility to see that all OFFICIAL transcripts and other required documents are provided in a timely manner. If I fail to do so, my application will become null and void.
E. I understand that interviews for qualified applicants will be conducted in the order in which applications are completed.
F. I understand that any false information provided as part of my application shall be just cause for denial of oral interview, or termination of my apprenticeship indenture agreement, should I be selected for the program.
G. I understand that an incomplete or unsigned application form will NOT be processed. In person signature required for application to be complete.
H. I understand that if selected for the apprenticeship program, such a selection may be conditioned by the sponsor on successfully completing additional steps, including a physical examination or other medical inquiries, drug testing, and/or a background check before signing an indenture.
I. I have checked all of the above to indicate my understanding, and state that all information provided on this form is true and accurate. I hereby grant permission to all former employers and references listed to disclose any information concerning my past employment and/or qualifications, unless I have indicated otherwise. I agree that any false statements made by me on this application form 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 of the sponsor's Standards, Rules and Policies and the Indenture (Apprentice Agreement).

Apprenticeship Qualifications

Applicants must be 18 years of age.
Applicants must submit an official copy of their High School Transcripts or GEDs.
Applicants must have a passing grade in Algebra 1 or GED equivalent.
Applicants are required to take an aptitude test.

Apprenticeship Qualifications

Have questions?