Apprenticeship Application

IMPORTANT FACTS ABOUT INFORMATION ON YOUR APPLICATION
This application is to assist in the process of referring you to employers for possible employment. Certain information requested on the application is private, that is, it may be released only to you or to government agencies.

Private Data	Why we ask for it	Are you legally obligated to provide it?	What may happen if you don’t provide it?
Social Security Number	To distinguish you from all other applicants and to make processing more efficient.	No	You will be assigned an individual identification number in order to insure that your records will not be confused with those of another applicant. You will have to use the number when contacting the committee concerning any of your records.
Name/Address	To distinguish you from all other applicants; to be able to send you notices.	Yes	Failure to provide information may be cause for rejecting an application.
Mobile Number	To be able to contact you to determine availability for interview.	No	We may not be able to employ you in certain jobs where you may be required to come to work on short notice.
Sex, Racial/Ethnic* Group, Disabled Status**	To be able to make Equal Opportunity reports as required by law and to provide affirmative action in apprenticeship.	No	We will not be able to determine whether our selection processes result in unfair discrimination or to take affirmative action in our hiring.

*Note: Ohio defines American Indian as: “American Indian means a person of one quarter or more Indian blood.”

**Note: “Disability” is defined as “a disabling condition which substantially limits one of life’s major activities such as walking, caring for yourself, seeing, hearing, speaking, performing manual tasks, breathing, learning, working. Do not answer “Yes” to this question if, for example, you have a visual problem corrected by glasses.

ALL OTHER INFORMATION ON THE APPLICATION WILL BE USED AND DISCLOSED AS NEEDED BY THE APPRENTICESHIP TRAINING FUND AS NEEDED TO PROCESS YOUR APPLICATION AND ADMINISTER YOUR PARTICIPATION IN THE PROGRAM.

EMPLOYMENT CONDITIONS

1. You should be aware that in this construction trade, you must travel to various construction projects located within numerous counties in Ohio covered by the Ohio Teamsters Apprenticeship & Journeyman Training Fund jurisdiction. You must have reliable means of transportation to travel to these projects.

2. A requirement of this or any registered apprentice program is attendance of at least 144 hours per year of related training outside of your normal working hours. You will be required to attend these related training classes without monetary compensation.

3. Employment in this trade may not be full time and there may be periods of unemployment due to weather, economic conditions, and other circumstances.

4. Apprentices start at a percentage of the journeyman rate and receive periodic increases. These increases are not automatic but depend on the progress made by the apprentice in on-the-job training and related training.

5. This occupation could involve lifting heavy objects and working in confined areas and high places.

6. When an offer of employment has been made, you may be required to submit to a physical examination and/or a drug test.

7. Also, random drug testing can also occur after you are accepted in the Apprenticeship Program.

8. I understand that I will have to reimburse all of the fees for the drug testing and D.O.T physical if I do not complete the program because of my own choice.

9. I understand if I am accepted into the apprenticeship program, that I will be registered with the State of Ohio as an apprentice and will be required to sign an Apprenticeship contract. I also understand the Union labor agreement supersedes the State of Ohio Apprenticeship contract and the terms and conditions of the Union labor agreement will apply to me throughout my employment as an apprentice.

10. The Ohio Teamsters Apprenticeship & Journeyman Training Fund will not discriminate against apprenticeship applicants or apprentices based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, genetic information, or because they are an individual with a disability or a person 40 years old or older. The Fund will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30.

I HAVE READ AND UNDERSTAND THESE EMPLOYMENT CONDITIONS AS REQUIRED BY THE OCCUPATION.
Signature*

Clear
Date*

MonthDayYear
Date
Email*
example@example.com
Name*

First NameLast Name

APPLICATION FOR APPRENTICESHIP TRAINING
NOTICE TO APPLICANT: The information you provide to complete this page is for affirmative action tracking purposes. See the subsequent pages for data explanations:
Name*

First NameLast Name
Address*

Street Address

County

CityState

Zip Code
Date of Birth*

MonthDayYear
You must be 18 years of age or older to be eligible for the Apprenticeship Program.
Social Security Number
Mobile Number*
Alternate number at which you can be reached
Please enter a valid phone number.
Are you legally authorized to work in the United States?*

YesNo
Have you applied for this training before?*

NoYes
If yes, when?

APPRENTICESHIP APPLICATION

SECTION 1 - EDUCATION

	Name of School	City, State	Degree or Diploma
High School
Vo-tech
College

*Attach copies of course completion certificates or transcripts of course credits. Your application is not complete without this information.

Cancelof
SECTION 2 – JOB RELATED SKILLS OBTAINED THROUGH OTHER SOURCES:
SECTION 3 - EMPLOYMENT HISTORY
Organization
Location
Phone Number
Please enter a valid phone number.
Position
Supervisor

	Major Activities	% of time
1
2
3

From

MonthDayYear
Date
To

MonthDayYear
Date
Full-timePart-time
If part time, enter hours per week.

Hours Per week

Part-time
Why did you leave?
Organization
Location
Phone Number
Please enter a valid phone number.
Position
Supervisor

	Hours Per week
Part-time

	Major Activities	% of time
1
2
3

From

MonthDayYear
Date
To

MonthDayYear
Date
Full-timePart-time
If part time, enter hours per week.

Hours Per week

Part-time
Why did you leave?
Organization
Location
Phone Number
Please enter a valid phone number.
Position
Supervisor

	Hours Per week
Part-time

	Major Activities	% of time
1
2
3

From

MonthDayYear
Date
To

MonthDayYear
Date
Full-timePart-time
If part time, enter hours per week.

Hours Per week

Part-time
Why did you leave?

	Hours Per week
Part-time

Click to add additional employment history if necessary
Organization
Location
Phone Number
Please enter a valid phone number.
Position
Supervisor

	Major Activities	% of time
1
2
3

From

MonthDayYear
Date
To

MonthDayYear
Date
Full-timePart-time
If part time, enter hours per week.

Hours Per week

Part-time
Why did you leave?

	Hours Per week
Part-time

Click to add additional employment history if necessary
IMPORTANT

I declare that any statement in this application or information provided is true and complete and hereby acknowlege that I have read and understand the information herein.
Signature*

Clear
Date*

MonthDayYear
Date

The Committee reserves the right to verify information provided in the application. In connection with this application for acceptance into the apprenticeship program and employment through the program, I authorize the Ohio Teamsters Apprenticeship & Journeyman Training Fund to conduct an inquiry into any job related information contained in this application, including but not limited to, my records (such as transcripts) maintained by an educational institution relating to academic performance. Moreover, I hereby release the Fund from any and all liability of whatever nature by requesting such information from any person.*

YesYes, but not present employer until job offeredNo, (we may be unable to hire you without this information)

IMPORTANT FACTS ABOUT INFORMATION ON YOUR APPLICATION

EMPLOYMENT CONDITIONS

APPLICATION FOR APPRENTICESHIP TRAINING

APPRENTICESHIP APPLICATION

SECTION 3 - EMPLOYMENT HISTORY

IMPORTANT