Apprenticeship Prospect Application

Due to the current COVID-19 situation, it might take us longer to respond to your application. Please fill out the form and we will get back to you as soon as possible. Thank you for your patience and be safe.

There are two parts to our application process so that we can get to know your interests, background and goals

1) This form: Apprenticeship Prospect Application

2) Pre-Employment Questionnaire

STUDENT INFORMATION

First Name *

Middle Initial

Last Name *

Date of Birth: *

Date

Street Address: *

Apt./Ste.

City:

State: *

Zip Code: *

Email Address: *

Phone Number

Area Code Phone Number

Phone Number: *

Gender

Male Female

Please check the box next to the trade(s) you"d like to pursue. *

Ethnic Information (for reporting purposes only)

American Indian/Alaskan Native Asian/Pacific Islander Black/African American Filipino Hispanic White/Caucasian Other

Do you have a valid driver"s license?

Yes No

BACKGROUND

Have you ever served in the United States military?

Yes No

Number of years?

Veteran Status

Active Duty Reserve Veteran Other

Education and Training background

College/Technical School High School GED Equivalency

What is the highest grade or year completed in high school?

9th Grade 10th Grade 11th Grade 12th Grade

How many years of Technical College or 4-year College/University did you complete?

1 2 3 4 5 6

Current Employer

Current Position

Type of Work

Employment Date

Date

Have you ever applied for craft training before?

Yes No

Where have you previously applied for Craft Training?

When?

Date

Have you been convicted of a felony within the last 7 years?

Yes No

Please explain.

Person to contact in case of emergency

Emergency Contact Phone Number

RULES OF CONDUCT

If accepted to the program, I agree to attend school on my own time, pursue the prescribed course of study related to the trade and comply with the local standards of craft training for the trade. I will abide by the decisions and rules of the persons responsible for conducting the program. I certify that answers given herein are true and completed to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in processing and maintaining status in the program. I understand that omissions, misrepresentations or falsifications of information will result in rejection or termination from the program. I also understand that I am required to abide by all rules and regulations of the companies for which I may work.

NCCER REGISTRATION AUTHORIZATION & RELEASE

I, the undersigned, do hereby authorize Associated Builders and Contractors of Metro Washington (ABC Metro Washington) to release the information and results attained through the administering of the National Craft Assessment and Certification Program to the company referenced above, and acknowledge that said company is my present employer. I, also, do hereby release ABC Metro Washington, its representatives, and its associating entities from any and all liability that may result from the release of this information. I further agree to hold harmless ABC Metro Washington, its representatives and associating entities from any and all damages for liability therefore which may result from the release of said information.

*

I have read the Rules of Conduct and NCCER Registration Authorization & Release above and agree to the terms set forth.

Once you hit submit, you will be redirected to your pre-employment questionnaire. YOU MUST FILL OUT THIS APPLICATION AND THE QUESTIONNAIRE.

Due to COVID-19, it might take longer to get back to you following your submission. Please be patient.