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Apprenticeship Application
Apprenticeship Application
$
25.00
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QUALIFICATIONS NECESSARY FOR AN APPLICANT TO BE CONSIDERED FOR A PROBATIONARY PIPE TRADES APPRENTICESHIP
Must be at least 18 years of age. (See Section 111-B-2--Qualifications of Applicants for Apprenticeship in the National Guideline Standards of Apprenticeship)
Complete this application and upload the following documents:
Birth certificate
Photo ID
High School transcript or high school equivalency (GED) certificate and official report of test results.
Military transfer or discharge Form DD-214, if applicable;
Appear for interview when notified.
IF YOU ARE ACCEPTED FOR A PROBATIONARY APPRENTICESHIP YOU WILL BE REQUIRED TO:
Serve as a probationary apprentice for a period of 1 year (1,700 hours of on-the-job training)
Serve a 5 year apprenticeship including the probationary period (8,500 hours of on-the-job training)
Report for work on a regular basis
Provide for you transportation to and from the job site
Work under the direction of a Journey Worker on the job site and perform job duties satisfactorily
Attend related training classes regularly and maintain an acceptable average in those classes
Purchase text material for use in related training classes as required
Abide by all rules and regulations of the Joint Apprenticeship and Training Committee.
SCHOLARSHIP LOAN AGREEMENT BETWEEN APPRENTICE AND LOCAL UNION #125 JATC FUND
I have read and understand the information outlined in the Scholarship Loan Agreement document.
*
Please
click here
to review the Scholarship Loan Agreement.
Yes, I Agree
APPLICATION FOR APPRENTICESHIP
Name
*
First
Middle
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Gender
*
Male
Female
Prefer not to self-identify
Hispanic/Latino Ethnicity
*
Hispanic
Non-Hispanic
Race
*
American Indian or Alaskan Native
Black or African American
Asian
Native Hawaiian or Pacific Islander
White
Date of Birth
*
MM slash DD slash YYYY
Veteran
*
Yes
No
Branch of Service
Length of Service
Date of Discharge
Type of Discharge
Currently Employed
*
Yes
No
Work Experience
*
Give jobs in order, starting with your present or latest job. Include military experience, summer jobs and part-time jobs. Use the + sign at the end of the row to add additional jobs. If job entered is your current job, don't give a "TO" date.
Employer
City
Type of Work
From
To
Reason for Leaving
High School Education
*
Graduate
GED
High School Information
*
High School Name
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Additional Education Background
Please select the area you are applying for:
*
Cedar Rapids
Burlington
Dubuque
Please select the classification you are applying for:
*
Plumber
Pipefitter
Refrigeration Fitter
How did you become aware of this apprenticeship opportunity?
*
Word-of-Mouth
TV
Career Day
Posted Announcement
Guidance Counselor
Outreach Organization
Radio
Newspaper
Drug and Alcohol Testing Notification
Testing as a Condition of Admission to the Apprenticeship Program
AGREE
*
Pursuant to the Standards of Apprenticeship certified by the US Department of Labor Bureau of Apprenticeship and Training, the Plumbers & Pipefitters Local No. 125 Joint Apprenticeship Training Committee (JATC) has responsibility for establishing and maintaining rules and requirements governing the administration, supervision, and training of apprentices. In the opinion of the JATC, it is imperative to promote a drug-free workplace and to reduce accidents, injuries, and fatalities in the plumbing and pipefitting industry. Accordingly, Plumbers & Pipefitters Local 125 JATC has adopted a Drug and Alcohol Policy.
It is an established policy that applicants accepted into the Apprenticeship Program must test negative on a pre-employment drug test. The admission of any applicant into the Program shall be contingent upon the applicant receiving and the JATC being provided a notice of a confirmed negative drug test result.
An applicant who receives a confirmed positive drug test result or who refuses a pre-employment drug test will not be allow ed to reapply or be considered for a position in the Apprenticeship Program for a period of one (1) year.
Failure to submit to a pre-employment drug test under this Policy including the failure to report in a timely manner to a collection site, sign any required consent form or otherwise fully cooperate in the collection of any authorized sample is also strictly prohibited and will be considered a refusal to test.
I acknowledge that I have read and understand this notification.
Signature
*
IOWA PLUMBING AND MECHANICAL SYSTEMS APPRENTICESHIP LICENSING FELONY SCREENING, RELEASE AND CONSENT
In the opinion of the Joint Apprenticeship Training Committee, it is imperative to screen applicant's felony and misdemeanor convictions to determine if the applicant complies with the Joint Apprenticeship Training Committee standards for apprentices and the Iowa Department of Public Health Plumbing and Mechanical Systems Board guidelines for apprenticeship licensure.
Passing the initial apprenticeship screening and background check will be deemed a minimum qualification for entrance into the apprentice program
. For these reasons, the following questions must be answered.
Do you have a medical condition, which in any way currently impairs or limits your ability to perform the duties of this profession? Medical Condition: means any physiological, mental, or psychological condition, impairment or disorder, including drug addiction and alcoholism.
*
Yes
No
Have you, within the past 5 years, engaged in the illegal or improper use of drugs or other chemical substances?
*
Yes
No
Have you ever been convicted of, or entered a plea of no contest to a misdemeanor or felony crime? (Other than minor traffic violations with fines under $250). You must answer YES, if the court expunged the matter or the court deferred judgement.
*
Yes
No
Has any state or other jurisdiction of the United Sates or any other nation ever limited, restricted, warned, censured, placed on probation, suspended, revoked, or otherwise disciplined a professional license, permit, registration, or certification issued to you?
*
Yes
No
Have there ever been judgments or settlements paid on your behalf as a result of a professional liability case?
*
Yes
No
Have you ever had a license, permit, registration, or certification denied, suspended, revoked, or otherwise disciplined by a certification body?
*
Yes
No
DOCUMENTATION
*
If you answered "Yes" to any of the above questions (1) attach a signed letter of explanation providing the details of the incident, (2) attach a copy of any court ordered evaluations, showing completion and recommendation, and (3) attach a copy of all official court documents regarding your conviction, including final disposition and/or settlement. A conviction will not necessarily disqualify you and the Joint Apprenticeship Training Committee will consider various mitigating factors prior to a final decision being made.
Drop files here or
Select files
Max. file size: 16 MB.
UPLOAD DOCUMENTATION
Are you re-applying?
*
Yes
No
Birth certificate
*
Drop files here or
Select files
Max. file size: 16 MB.
Photo ID
*
Drop files here or
Select files
Max. file size: 16 MB.
High School transcript or high school equivalency (GED) certificate and official report of test results (Diplomas are not allowed!)
*
Drop files here or
Select files
Max. file size: 16 MB.
Military transfer or discharge Form DD-214 (if applicable)
Drop files here or
Select files
Max. file size: 16 MB.
Resume
Drop files here or
Select files
Max. file size: 16 MB.
Letter of Recommendation(s)
Drop files here or
Select files
Max. file size: 16 MB.
RELEASE AND CONSENT
APPRENTICESHIP APPLICATION EEOC SUPPLEMENTAL INFORMATION
The information voluntarily provided in this online application is simply for Equal Employment Opportunity (EEO) purposes. This information will assist us in our efforts to provide accurate information in compliance with EEOC regulations and requirements.
AGREE
*
Please read all of the following statements carefully and ask any questions if you need clarification before you sign this section:
I understand and certify that all information supplied in this application is complete and correct. Any false, misleading or incomplete information, including any omission of information that I provide or fail to provide regarding this application may result in rejection for apprenticeship, or if accepted, immediate cancellation of an apprenticeship agreement, regardless of when or how the information or omission is discovered.
I understand that by submitting this application and signing this consent that I consent to the Joint Apprenticeship Training Committee performing a background check on me. The Joint Apprenticeship Training Committee may also request that I successfully complete drug testing before being chosen for the program.
I understand that my failure to personally complete any part of this application will bar me from consideration for apprenticeship.
I have read, understand and agree with all of the information in the above Release and Consent.
Your Interview Time
*
NONE AVAILABLE -- PLEASE CALL (319) 362-9259 TO SCHEDULE INTERVIEW!
Interviews are at the Training Center: 5101 J St SW, Cedar Rapids, IA 52404
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Interview Timeslot ID
3534
Signature
*
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