APPRENTICE APPLICATION Apprentice Application for Maryland/DC/Virginia "*" indicates required fields Date Applied* MM slash DD slash YYYY Site Applying*VirginiaMaryland/DCThis field is hidden when viewing the formCodeLast Name*MIFirst Name*SuffixJr.Sr.IIIIIIVVAddress* Street Address City 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 State ZIP Code CountyCell Phone*Phone NumberLast 4 of SS#:*Email* Date of Birth*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Emergency ContactEmergency Name* First Last Emergency Relationship*Emergency Phone*Emergency Address* Street Address City 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 State ZIP Code Demographic Information OPTIONAL (For statistical purposes only! Not to determine selection.) Gender Male Female Ethnic Classification White Black Native American Hispanic Asian Other Other EthnicityPlease SpecifyPLEASE CHECK THE BOX FOR WHICH APPRENTICESHIP YOU ARE APPLYING:*(YOU MUST CHOOSE ONLY ONE OF THE CATEGORIES BELOW)Apprenticeship Category* Commercial Carpenter Pile Driver Floor Coverer Mill Cabinet Millwright EDUCATION: * *If you are using documented proof of working a minimum of 1500 hours in the construction field, please upload your proof with your documentation.(W-2, 1099, pay stubs) Name of High SchoolYear Graduated from High SchoolIf not, years completed:High School Equivalency (G.E.D or Hi-Set) Yes Date Issued(mm/yyyy)Technical Schools, College or other schools:Name of SchoolCourse TakenDates Attended(mm/yyyy)Through(mm/yyyy)MILITARY STATUS:Branch of ServiceLength of ServiceYears and MonthsAre you currently in: Reserves National Guard Helmets to Hardhats Service Period:(mm/yyyy)Through(mm/yyyy)DD214 Form UploadAccepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.PRE-APPRENTICESHIPS:Did you complete a pre-apprenticeship program?*NoYesPlease indicate what programs you have completed:*WORK RECORD: If you have no Work History then please enter in N/A into the fields below.Present Employer*Wage Per Hour*How long?*Years/MonthsType of work performed*Previous EmployerWage per hourHow long?Years MonthsType of work performedPrevious EmployerWage per hourHow long?Years MonthsType of work performedPlease tell us about any previous carpentry experience you have:Why do you want to be a carpenters apprentice?ACKNOWLEDGEMENTS If my application is accepted, I agree to comply with the terms and conditions of the Sponsors Standards of Apprenticeship, which cover practical training on the job (OJT), plus the necessary related instruction wherever and however it is made available to me. I understand that failure to comply may result in termination from the apprenticeship and from membership in the United Brotherhood of Carpenters and Joiners of America. I understand that completion of an apprenticeship application does not constitute any agreement between the EASCTC or the Eastern Atlantic States Regional Council of Carpenters, and me nor does it constitute employment or any offer of employment and that the use of this application form does not indicate that there are any positions open and does not in any way obligate the EASCTC. I understand that should I be granted an interview, no representations that may be made at the interview are to be construed as creating any obligation, promise or contract on behalf of the EASCTC. I certify that the answers given in this application are true to the best of my knowledge. I understand that false or misleading information given in my application, resumes, interview(s) or during the course of my apprenticeship may result in withdrawal of acceptance or discipline up to and including termination of apprenticeship, whenever the omission or falsehood is discovered. I understand that it is my responsibility to notify the EASCTC promptly in writing of a change in any information on the application. I understand that I must provide COPIES of ALL mandatory supporting documents (e.g. proof of age, transcripts, GED/Hi Set with scores) at the time I submit my application. I understand that if I am accepted as an apprentice I will be subject to a probationary period, and that I will work for the established apprenticeship wage scale during the term of my apprenticeship. I understand that I will be subject to a drug test and alcohol test. I also understand that if my drug test comes back positive, my application will be denied and that I can reapply in 12 months. I understand that this completed application must be returned with supporting documents upon submission. Equal Employment Opportunity Pledge and Complaints NoticeEASCTC 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. EASCTC 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. YOUR RIGHT TO EQUAL OPPORTUNITY It is against the law for a sponsor of an apprenticeship program registered for Federal purposes to discriminate against an apprenticeship applicant or apprentice based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, age (40 years or older), genetic information, or disability. The sponsor must ensure equal opportunity with regard to all terms, conditions, and privileges associated with apprenticeship. FILING A DISCRIMINATION COMPLAINT If you think that you have been subjected to discrimination, you may file a complaint within 300 days from the date of the alleged discrimination or failure to follow the equal opportunity standards with USDOL Office of Apprenticeship. EACH COMPLAINT FILED MUST BE MADE IN WRITING AND INCLUDE THE FOLLOWING INFORMATION: 1. Complainant’s name, address, and telephone number, or other means of contact, for contacting the complainant. 2. The identity of the respondent (i.e. the name, address, and telephone number of the individual or entity that the complainant alleges is responsible for the discrimination). 3. A short description of the events that the complainant believes were discriminatory, including but not limited to when the events took place, what occurred, and why the complainant believes the actions were discriminatory (for example, because of his/her race, color, religion, sex (including pregnancy and gender identity), sexual orientation, national origin, age (40 or older), genetic information, or disability). 4. The complainant’s signature or the signature of the complainant’s authorized representative.Acknowledgement Agreement*In order to check off the checkbox you must read to the end of the Equal Opportunity Pledge and Complaints Notice above. I have read, understood, and agree to the foregoing Acknowledgements and Equal Employment Opportunity Pledge How did you hear about us? Online Word of mouth Career Day Advertising Other Have you ever applied before?* No Yes WhenWhereRequired Supporting Documents*Refer to list of supporting documents given to you at your information session. Click here to view list of documents. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 10 MB. Driver's License*Accepted file types: jpg, gif, png, jpef, pdf, Max. file size: 10 MB.I will accept the decision of the Joint Apprenticeship Committee as final regarding my qualificiations for this training. If qualified, your next step will be a personal interview by the Joint Apprentice Committee. If selected, the applicant will be required to take a drug test and pay for miscellaneous books and supplies. Random drug testing may be conducted any time during the apprenticeship. The information set forth in this application is true and correct to the best of my knowledge. By checking this box, I agree to the above statement.* I agree Signature*
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