Joint Apprenticeship Training Committee Heat and Frost Insulators & Allied Workers Union Local 97 Alaska

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1 Joint Apprenticeship Training Committee Heat and Frost Insulators & Allied Workers Union Local 97 Alaska 5326 A Street Unit #1 Telephone Anchorage AK, The minimum qualifications to apply are: Shall be at least 18 years of age; Local 97 JATC Minimum Qualifications High school diploma or GED is required, or completion of a GED within the 1600 hour probationary period or 12 months from date indentured; High school and/or post-high school transcript(s) required; Shall be an Alaska resident; Valid driver s license required; Social Security Card or Birth Certificate required; Form DD-214 for those applicants who have served in the military; and Shall be physically capable of performing the essential functions of an apprentice Supporting documentation: Trade related certifications, or having a two-year Associate Degree or higher; Recent physical examination; DMV Driving Record for the past 5 years Desired credentials; Not Mandatory: First Aid/CPR Card/OSHA 10 Card/TWIC Card, NSTC, and MSHA Card All applicants may be subject to a physical agility or fitness test, and/or screened for the current illegal use of drugs, upon acceptance into the program and prior to employment. Apprentices will be selected in order of their ranking received at interview. The recruitment, selection, employment, and training of apprentices during their apprenticeship shall be without discrimination due to race, color, religion, national origin or sex. An application is not considered complete without it being completely filled out and signed, with copies of the required documents stated above. Thank you for considering a career with the Heat and Frost Insulators & Allied Workers, Local 97 Alaska.

2 Joint Apprenticeship Training Committee Heat and Frost Insulators & Allied Workers Union Local 97 Alaska 5326 A Street Unit #1 Telephone Anchorage AK, JATC Apprenticeship Application Heat and Frost Insulators & Allied Workers Union Local 97 Application Date: Application Number: Trade applying for: Insulator Apprenticeship Currently employed: Yes No Social Security No: Date of Birth: Name: Last First Middle Mailing Address: City: State: Zip Code: Physical Address: City: State: Zip Code: Address: Telephone: Home Cell: Race/Ethnic/Sex/Veteran Group Race (mark one or more) Ethnic Group (mark one) American Indian or Alaska Native Hispanic or Latino Asian Not Hispanic or Latino Black or African American Caucasian (White) Native Hawaiian or other Pacific Islander Sex (mark one) Female Male Veteran Non-Veteran (If YES, include DD-214)

3 Work History Begin with present job and work backward, including military service.

4 High School Name and location of school: Number of years completed: High School Diploma or GED (circle one) Trade related courses: Attach a copy of your high school diploma or GED. Include a copy of high school transcripts. Trade Schools, Vocational, College, Trade Association or Union: Name and location of school(s): Number of years completed: Trade related courses: Attach a copy of transcripts from any post-secondary schools. Other Inquiries How did you learn about our apprenticeship program? Have you ever been enrolled in an apprenticeship program before? Yes No If yes, complete the following: Trade: Program Sponsor: Address: Length of time enrolled: Did you complete the program? Yes No If you did not complete the program, reason for leaving: List any skills or trade knowledge you have. What do you know how to do in this trade? Drivers License Information: Do you have reliable transportation? Yes No Do you have a current driver s license? Yes No If yes, driver s licenses number: Have you had a DUI? Yes No If yes, when did it occur?

5 Military Training Did you like take any construction-related courses in the military? Yes No If yes, what courses? Job Corps Did you take any construction-related courses in Job Corps? Yes No If yes, what courses? References Name Address Telephone Number(s) Name Address Telephone Number(s) Name Address Telephone Number(s)

6 Authorization and Understanding Completeness and Accuracy of Information: I affirm that all of the information now or hereafter given by me in support of my application for apprenticeship is true and complete. I understand that any false or misleading information in support of my application may disqualify me from becoming an apprentice or subject me to discharge at any time during the period of my apprenticeship. If I have any questions about this application or the selection process, I will direct them to the Apprenticeship Program Sponsor prior to submitting the completed application. Authorization of Release of Information and Release from Liability I authorize you to verify any of the information given during the application process with appropriate individuals, companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of disclosure. I hereby release you and them from any liability whatsoever as a result of such inquiries and disclosures. A photocopy or other electronic reproduction of this authorization/release is binding, and may be relied upon. I acknowledge that I have read, understood, and accept the above statement in its entirety, and have had opportunity to ask questions regarding any aspect of this application, and that I accept the above terms. Applicant Signature Date Revised 3/27/2017