Date of Birth *

MM

DD

YYYY

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone #1: *

(###)

###

####

Phone #2:

(###)

###

####

How were you informed of our apprenticeship program?

Mark only one box

Build LACCD

Business Development / Organizing

Century Community Training

Helmets To Hardhats (Military)

New Shop Sign Up

PV Jobs

We Build

Union Member

MC3

Other

Do you understand that, if accepted, you will be required to take a drug test? *

Yes

No

Do you understand that, if accepted, you must have a valid California driver's license? *

Yes

No

Do you understand, that if accepted, you will be required to go anywhere in Los Angeles, Orange, Riverside, and/or San Bernardino county to work. *

Yes

No

Do you understand that regardless of what days or nights of the week you are required to attend school, you are prepared to attend related classroom studies on your own time? *

Yes

No

Do you realize that increases in pay are not automatic but dependent on the progress made by an apprentice on the job and in the classroom? *

Yes

No

Do you realize it is impossible to guarantee full time employment in the sheet metal industry? *

Yes

No

Can you, after employment, submit verification of your right to work in the United States? *

Yes

No

By typing your name below to the best of my knowledge, the information I have provided on this application is true and correct *

First Name

Last Name

Date *

MM

DD

YYYY

All information on this page is requested for statistical purpose only *

(Mark one box only)

Male

Female

Please mark the highest level of education completed: *

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8th grade or less

9th grade

10th grade

11th grade

12th grade

G.E.D.

1 year of college

2 years of college

3 years of college

4 or more years of college

Have you served in the military? *

(Mark one box only)

Yes

No

Ethnicity *

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Caucasian

African American

Asian - Asian Indian

Asian - Bangladeshi

Asian - Chinese

Asian - Cambodian

Asian - Filipino

Asian - Hmong

Asian - Indonesian

Asian - Japanese

Asian - Korean

Asian - Laotian

Asian - Malaysian

Asian - Pakastani

Asian - Sri Lankan

Asian - Taiwanese

Asian - Thai

Asian - Vietnamese

Native Hawaiian - Fijian

Native Hawaiian - Guamanian

Native Hawaiian - Hawaiian

Native Hawaiian - Samoan

Native Hawaiian - Tongan

American Indian or Alaskan Native

Hispanic