Burlington Apprentice Application Home About Us Contact Us Equal Opportunity Applying Apprentice Classes Apprentice Resources Continuing Education Additional Resources Apprenticeship Application SEIAJATC Blog Apprenticeship Application Form - Burlington Area Please complete the following apprenticeship application form. "*" indicates required fields Step 1 of 9 11% Application IDYour Personal InformationPlease check below to indicate that you have read and understand all the requirements for this apprenticeship application.* Yes, I have read and understand all the requirements Personal InformationYour Name* First Middle Last Your Phone*Your Email Address* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Social Security Number* List the main reason(s) you are applying for this apprenticeship program.*Have you applied for this apprenticeship program or any other IBEW-NECA program before?* Yes No If Yes, how many times?*Have you previously attempted the aptitude test battery?* Yes No If Yes, please specify the following:Date* Month Day Year Location of test*Modality* Online Paper and pencil Are you now, or have you ever been a registered apprentice?* Yes No If yes, list apprenticeship sponsor or employer* There are different methods to quality for selection. Check all that apply to you.* I believe I can meet all minimum qualifications for apprenticeship. I can produce indisputable documentation to verify that I have at least 4,000 hours of electrical construction work experience. I can produce indisputable documentation to verify that I have at least 2,000 hours of electrical construction work experience. I am currently performing electrical construction work for an electrical contractor who became signatory to a union contract. I am among the 30% or more, who signed authorization cards while working for an electrical contractor during an organizing effort. I am attempting to qualify for, and participate in, the School-to-Registered-Apprenticeship Program. I am attempting to qualify for this program with military experience and/or military honorable discharge. I am attempting to qualify from the completion of a registered/authorized pre-apprenticeship program. I am attempting to qualify from completion of the electrical training ALLIANCE Interim Credentials. I am attempting to qualify with Line School or Line College completion certificate. I am attempting to transfer into this program from another IBEW-NECA registered apprenticeship program for the same trade. Name of Contractor from item #4 above*Name of Contractor from item #5 above* EDUCATIONCheck the highest level of formal education you have attained, or are currently pursuing.* Did not complete High School / GEN Completed GED / HSED Graduated from High School Some College, no degree One year technical diploma Two year technical diploma Bachelor's degree Some graduate degree courses Graduate College degree If you are currently pursuing the education indicated above, please indicate which year you are currently in (e.g., Bachelor’s degree Third year)Indicate Math courses completed* None Algebra 1 Algebra 2 Geometry Trigonometry Calculus NJATC Tech Math Have you completed any vocational technical courses or training during or after high school?* Yes No List vocational courses and/or training completed.*Please upload your official transcript for high school or G.E.D.Max. file size: 512 MB.Please upload your Proof of successfully completion of 1 full year of high school algebra (or its equivalent) with a grade of C or better, or one semester of post-high school algebra (e.g. adult education, continuing education, community college etc. with a grade C or better or the electrical training alliances on line tech math.** If not included in the above transcripts, most of the time the math requirement will be in the transcripts. Max. file size: 512 MB.Please upload any college transcripts if applicableMax. file size: 512 MB. Work HistoryAre you currently employed?* Yes No Current Employer*If Yes, do we have your permission to contact your present employer at this time?* Yes No Current Supervisor*Current Supervisor Phone*Do you have any of the following experiences?* Electrical construction experience Other construction work experience? Electrical/electronic/construction experience outside of your work experience? None Provide the details of your work experience.*Please upload Any resumes or reference letters if applicable. Drop files here or Select files Max. file size: 512 MB. Other BackgroundHave you served in the U.S. military?*If Yes, you MUST provide a DD214 or equivalent form for your branch of service. Yes No Upload a copy of your DD214 or equivalent.Max. file size: 512 MB.Have you ever been convicted of a felony? (Conviction will not automatically disqualify you; additional documentation may be required).* Yes No Date of conviction* Month Day Year Explain the conviction.* Statements Of UnderstandingPlease read the following and check the box to indicate that you understand and agree to each statement. Failure to check all boxes will disqualify you from the Application process.I am aware that it is my responsibility to keep this program informed of any change in my address or phone number.* I understand and agree I have read and understand the basic qualifications for entry into the program that have been provided to me and believe that I meet them.* I understand and agree I understand that I must furnish certain documentation to show that I meet the qualifications required for entry into the pool of eligible candidates for this apprenticeship, and that it is my responsibility to see that all OFFICIAL transcripts and other required documents are provided in a timely manner.* I understand and agree I am willing and able to attend all related classroom training as required to complete this apprenticeship.* I understand and agree I have reviewed the Rules for this Program and am able to meet them. I agree that if selected, I will abide by all of the sponsor’s Standards, Rules and Policies and the Apprenticeship Agreement.* I understand and agree I understand that I must be able to get to and from work at job sites anywhere within the geographical area that this apprenticeship program covers.* I understand and agree I understand that as a condition of participation in this program I will need to have and maintain the legal right to work in the U.S. and to verify this to contractors.* I understand and agree I understand that I must be physically and mentally able to safely perform or learn to safely perform the essential functions of the job of an electrical worker in the type of program for which I am applying, either with or without reasonable accommodations; and that the necessary abilities typically include the following: repetitively lift and carry more than 50 pounds; climb and work from ladders, scaffolds, poles and towers of various heights; crawl and work in confined spaces such as attics, manholes and crawlspaces; and to write, read, hear, and understand instructions and warnings in English.* I understand and agree I understand that interviews for qualified applicants will be conducted in the order in which completed applications and required documentation are received by the JATC.* I understand and agree I confirm that all information provided on this Application and in any supporting documentation provided by me is true, accurate and complete. I understand that any false or inaccurate information or material omissions in any of the information provided by me in connection with this application shall be just cause for denial of oral interview, disqualification of my selection or, if discovered after being selected for apprenticeship, my termination from the Program.* I understand and agree I understand that an incomplete or unsigned application form will NOT be processed.* I understand and agree I understand that if selected for the apprenticeship program such a selection may be conditioned upon successfully completing additional steps that are set forth in this Program’s Standards and Selections Procedures, and that these may include a physical examination or other medical inquiries; drug testing; additional documentation of my background; a background check; a boot camp; or other pre-indenture requirements.* I understand and agree I grant permission to all former employers and references listed to disclose any information concerning my past employment and/or qualifications, unless I have indicated otherwise.* I understand and agree EEO SUPPLEMENTAL INFORMATIONThis JATC/AJATC is committed to equal opportunity. The recruitment, selection, employment, and training of apprentices during their apprenticeship, shall be without discrimination because 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, or any other protected characteristics under state or local law. We respectfully request that you return this form along with your completed application. The information voluntarily provided below is for statistical purposes only, and will assist us in our efforts to provide accurate information in compliance with regulations and requirements of the Equal Employment Opportunity Commission (EEOC) and U.S. Department of Labor. This EEO information will not become part of your apprenticeship file. It will be maintained in a separate file, used only for EEOC and DOL reporting purposes. Date of Birth Month Day Year Sex Male Female Race American Indian or Alaskan Native Asian or Pacific Islander Black White Ethnic Group Hispanic Origin Not of Hispanic Origin How did you become aware of this apprenticeship opportunity? Word of mouth Career Day TV Posted Announcement Guidance Counselor Teacher/Instructor Outreach Organization Newspaper Radio Other Voluntary Disability DisclosureVoluntary Disability Disclosure Yes, I have a disability No, I don't have a disability I decline to answer Name First Last Date Month Day Year Why are you being asked to complete this form?Because we are a sponsor of a registered apprenticeship program and participate ni the National Registered Apprenticeship System that is regulated by the U.S. Department of Labor, we must reach out to, enroll, and provide equal opportunity in apprenticeship to qualified people with disabilities. ]I To help us learn how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for apprenticeship, any answer you give will be kept private and will not be used against you in any way. If you already are an apprentice within our registered apprenticeship program, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our apprentices at the time of enrollment, and then remind them yearly, that they may update their information. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.How do I know if I have a disability?You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: blindness, deafness, cancer, diabetes, epilepsy, autism, cerebral palsy, HIV/AIDS, schizophrenia, muscular dystrophy, bipolar disorder, major depression, multiple sclerosis (MS), missing limbs or partially missing limbs, post-traumatic stress disorder (PTSD), obsessive compulsive disorder, impairments requiring the use of a wheelchair, and intellectual disability (previously called mental retardation).Application Fee* Price: Total Credit Card Cardholder Name Card Details CommentsThis field is for validation purposes and should be left unchanged.