Online Apprenticeship Application Sheet Metal Workers Local 20 – Evansville, IN Area Joint Apprenticeship and Training Committee Which Local 20 Training Program are you applying for?*Pre-Apprentice Sheet Metal Workers ProgramApprentice Sheet Metal Workers Service Training ProgramApprentice Sheet Metal Workers Training ProgramName* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code SSN#*Present Age*Date of Birth* Phone*Email* County of Residence*EducationDid you graduate from high school?*YesNoIf 'Yes', what is the month and year you graduated?Did you obtain a GED?YesNoIf 'Yes', what is the month and year you obtained it?Military ServiceAre you a veteran?*YesNoLenght of Service and Rank*Date of Discharge*Are you enrolled in "Helmets to Hardhats" program?*YesNoGeneral BackgroundDo you have a valid drivers license?*YesNoValid Driver's License #*Construction work requires you to have transportaion to travel to job sites anywhere in the state of Indiana - when instructed by your employer. Do you have reliable transportation?*YesNoAre you now or have you ever worked for a Local 20 contractor?*YesNoIf 'Yes', how long?If 'Yes', which contractor?Who referred you to this committee?*Have you ever applied to this program before?*YesNoIf 'Yes', when?Have you ever been convicted of a felon?*YesNoIf Yes, please describe the details of the crime / conviction.*Personal ReferencesList two personal references. Reference 1 Name First Last Reference 1 PhoneReference 1 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference 2 Name First Last Reference 2 PhoneReference 2 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment HistoryCompany A NameCompany A Address Street Address City State / Province / Region Company A PhoneCompany A Job TitleCompany A Supervisor Name First Last Company A Hire Date MM DD YYYY Company A End Date MM DD YYYY May we contact Company A as reference?YesNoCompany B NameCompany B Address Street Address City State / Province / Region Company B PhoneCompany B Job TitleCompany B Supervisor Name First Last Company B Hire Date MM DD YYYY Company B End Date MM DD YYYY May we contact Company B as reference?YesNoCompany C NameCompany C Address Street Address City State / Province / Region Company C PhoneCompany C Job TitleCompany C Supervisor Name First Last Company C Hire Date MM DD YYYY Company C End Date MM DD YYYY May we contact Company C as reference?YesNoDisclaimers and AgreementsDo you understand that upon acceptance into the program, you will be required to take a physical examination and a drug test?*YesNoDo you understand that if you are working in the sheet metal trade, the contractor you are working for may be changed upon entering the Apprenticeship Program or at any time by the decision of the Joint Apprenticeship and Training Committee?*YesNoDo you understand that you will be required to provide your own transportation to and from work and school and that a valid driver’s license is required to enter and remain in the Apprenticeship Program?*YesNoDo you understand that the work of a sheet metal worker may require you to travel throughout the jurisdiction of Local 20, basically state wide?*YesNoDo you understand that, as a sheet metal worker, you may be required to work at various heights above and below the ground and under possibly hazardous conditions?*YesNoDo you understand that the work of a sheet metal worker may be seasonal in nature and that you may experience prolonged lay-offs?*YesNoDo you understand that the being a sheet metal worker may require you to work in extremely dusty and dirty conditions, extreme heat, cold, or damp environments, as well as inclement weather?*YesNoConsent* To the best of my knowledge, all statements made by me are true and correct. Optional Information for Affirmative Action RecordsThe Committee has filed an Affirmative Action Plan with the United States Department of Labor. In order to help us meet our obligations under the plan and regulations issued by the Equal Employment Opportunity Commission under the provisions of the Civil Rights Act of 1964, we request that you answer the following questions: GenderFemaleMaleRace: Caucasian / White African American Hispanic or Latino Asian or Pacific Islander American Indian or Alaska Native Other IF MY APPLICATION IS ACCEPTED, I AGREE TO THE FOLLOWING PROCEDURES AND AGREE TO COMPLY WITH ALL OF THE RULES AND REGUALATIONS AS ADOPTED OR HEREAFTER ADOPTED BY THE JOINT APPRENTICESHIP TRAINING COMMITTEE: If my application is accepted, I agree to be tested for illegal substances. I fully understand that if the results of the test are positive, I will not be accepted for the Pre-Apprentice Program. Drug Testing Procedures: you will be sent to the I.U.C.S.A.T. office. They will explain the drug testing procedures and will schedule your drug screen. You will need to call the apprenticeship office the next day after lunch for your results. I understand that after I have been notified of passing the drug test, I will need to return to the JATC Office and fill out the necessary paperwork. This will include signing a form consenting to attend the MANDATORY safety classes given on two consecutive Saturdays. I will also be required to pay my monthly Union Dues to Sheet Metal Workers Local #20. I understand that the JATC requires all Pre-Apprentices to have the following tools, which can be purchased, if necessary, through payroll deduction at the time I sign up: Tinners HammerMedium Screw Driver Large Screw Driver 2 Pair Vice Grips(10R)1 Pair C-Clamp Vice Grips(11R) 1 Scratch Awl Snips Left Snips Right25’ Tape Measure Approximate Cost: $105.00 I understand that the work of a Pre-Apprentice may be seasonal in character and that I may experience layoffs. I understand that working as a Pre-Apprentice may require me to work at varying heights above and below ground and under possible hazardous conditions. I understand that the work of a Pre-Apprentice may require working in extremely dusty conditions, extreme heat, cold or damp conditions, or inclement weather. I understand that as a Pre-Apprentice I am required to have reliable transportation. I understand that I am required to pay Union Dues per the month. I understand that as a Pre-Apprentice, I will be required to apply for the Apprenticeship Program when notified by the JATC Office. If I fail to apply, or if I do not meet the qualifications for the Apprenticeship Program, I realize that I cannot remain in the Pre-Apprentice Program. All Pre-Apprentices must be placed in the apprenticeship program within 2 years. I realize that if I am not placed into the program in two years, I will be terminated from the Pre-Apprentice Program. Program Aggreement* I agree to the statements listed above. Required Essential FunctionsIn the context of both the shop and field work sites, the essential functions and other important responsibilities of a Sheet Metal Apprentice may include, but not be limited to, the following: Physical Requirements While performing the duties of his or her job, it is critical that the Sheet Metal Apprentice be able to constantly stand, walk, twist, and utilize hand-eye coordination. Very frequently, he or she should be able to bend and lift horizontally and/or vertically, and push or pull a minimum of 14 pounds. He or she would be required to utilize manual dexterity and balance, and frequently squat and lift both horizontally and vertically, over 50 pounds. It is important that the Sheet Metal Apprentice be able to very frequently operate motorized equipment. Sensory Requirements While performing the duties of his or her job, it is critical that the Sheet Metal Apprentice be able to constantly perceive space and form, verbalize speech, hear, and frequently perceive color. Work Environment While performing the duties of his or her job, it is critical that the Sheet Metal Apprentice be able to constantly work in construction conditions. They must also be able to work in groups or alone, tolerate loud noises and the indoor/outdoor elements, and occasionally work in confined spaces and at varying heights. It is important the Sheet Metal Apprentice be able to frequently tolerate dust, fumes, and odors. General Abilities and Aptitude While performing the duties of his or her job, it is critical that the Sheet Metal Apprentice be able to problem solve and comprehend verbal and written instructions, as well as very frequently read and write. It is critical that the Sheet Metal Apprentice be able to very frequently apply situational reasoning, data utilization, mathematics, geometry, and functional reasoning. Required Essential Functions Acknowledgement* By signing this document, I declare that I have read and understand the Essential Functions of a Sheet Metal Apprentice. I understand that if I cannot comply with these Essential Functions of the Sheet Metal Apprenticeship Training Program, I may be terminated from the program.