Application for Apprenticeship

You are applying for apprenticeship with the Lincoln Electrical JATC.

* Provide documentation of Electrical Construction experience


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


Required Information Must Be Provided to Complete this Application

1. Check the Appropriate box(es) below the questions (A-F) to Indicate Your Means of Qualification for Apprenticeship.

Education

4. List College Degree(s) earned (Type in the boxes below):

5a. Indicate Math course(s) completed

Background

Interests and Abilities

17. 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?

18. Are you able to get to and from work at job sites anywhere within the geographical area that this apprenticeship program covers?

19. Are you able and willing to attend all related classroom training as required to complete your apprenticeship?

20. Are you able to climb and work from ladders, scaffolds, poles and towers of various heights?

21. Are you able to crawl and work in confined spaces such as attics, manholes and crawlspaces?

22. Are you able to read, hear, understand, and follow instructions and warnings?

Work History (Fill out the Work History Summary at the bottom of this form.)

Statements of Understanding

You MUST Check Each Circle for Each of the Statements (A through I) Below to Indicate Your Knowledge and Understanding. NOTE: If You Need Clarification On Any Item Do NOT Hesitate to Ask Us.

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 transcripts and other required documents are provided. 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 applications 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.

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 understand that only this ORIGINAL application form will be processed, and that Photocopies are NOT acceptable.

J. I am able and willing to follow instructions in order to safely complete any job task to the best of my ability.

K. I understand and agree that I must comply with all safety rules on the job and in any classroom.

L. I agree to submit and/or have other authorized persons submit all reports required by the JATC for the purpose of cataloging my personal work history, progress and related training activities and achievements.

M. I understand that I am NOT to solicit jobs directly with any electrical contractor.

N. I understand that the job may require working different shifts (day, evening, night) in order to complete work for customers, although most jobs require day shift hours.

O. I understand that my job performance will be evaluated periodically and reported to the JATC to assist in documenting my overall performance in the CW/CE Program. Such information is privately held by the JATC.

P. I understand that I may be required to complete courses or tests out of courses specified and/or approved by the JATC as a condition for advancement from one level to the next within the CW/CE Program.

Q. I understand that having documented 8,000 hours of work experience and having completed all required courses or having tested out of the courses, I may request to have my classification changed from Construction Wireman to Construction Electrician in an effort to seek Journeyman Wireman status.

R. I understand that as a Construction Electrician with 14,000 hours of documented work experience in electrical construction, I may seek to become a Journeyman Wireman by completing required training and testing.

S. I understand that all job (work) assignments for a Construction Wireman (CW) are made by the JATC and that all job referrals for a Construction Electrician are made by the IBEW Local Union 265.

I have checked all the above (Statements of Understanding) 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. 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 (Apprenticeship Agreement). Type in your name in the box below as your signature to these statements.

I hereby apply for the position of Construction Wireman or Construction Electrician and agree if selected, I will abide by the sponsor’s Rules and Policies that pertain to the CW/CE program. Type in your name in the box below as your signature to these statements.



Apprenticeship Application EEOC Supplemental Information

THIS APPRENTICESHIP SPONSOR IS COMMITTED TO EQUAL OPPORTUNITY FOR ALL APPLICANTS. THE RECRUITMENT, SELECTION, EMPLOYMENT AND TRAINING OF APPRENTICES DURING THEIR APPRENTICESHIP, SHALL BE WITHOUT DISCRIMINATION BECAUSE OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER OR AGE - EXCEPT THAT THE APPLICANT MUST MEET THE MINIMUM AGE REQUIREMENT. THE JATC DOES NOT, AND WILL NOT, DISCRIMINATE BECAUSE OF THE DISABILITY OF SUCH INDIVIDUAL. WE RESPECTFULLY REQUEST THAT YOU ANSWER THESE QUESTIONS AS PART OF YOUR APPLICATION FOR APPRENTICESHIP.

---- PLEASE COMPLETE THE FOLLOWING ----

THE INFORMATION VOLUNTARILY PROVIDED BELOW IS SIMPLY FOR EQUAL EMPLOYMENT OPPORTUNITY COMMISSION (EEOC) PURPOSES. THIS INFORMATION WILL ASSIST US IN OUR EFFORTS TO PROVIDE ACCURATE INFORMATION IN COMPLIANCE WITH EEOC REGULATIONS AND REQUIREMENTS.



Work History Summary

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Employer #1

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Employer #4

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When you press the Submit button, you will be directed to a Credit Card checkout website.

You must pay the $20.00 Application Fee or your Application will not be processed.