Application_info PIPE TRADES APPRENTICESHIP FORM Application Form QUALIFICATIONS NECESSARY FOR AN APPLICANT TO BE CONSIDEREDFOR A PROBATIONARY PIPE TRADES APPRENTICESHIP One must be at least 18 years of age. (See Section III-B-2--Qualifications of Applicants for Apprenticeship in the National Guideline Standards of Apprenticeship); Complete this page,the application on page 2, and return this form with the following: Valid Driving License High School diploma and transcript or high School equivalency (GED) Certificate and official report of test results. Military transfer or discharge Form DD-214, if applicable; Appeared 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 (1700-2000 hours of on-the-job training); Serve a 5 year apprenticeship including the probationary period (8500-10,000 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 I,undersigned,have read,understand and agree to abide by the above. Prepared by the International Pipe Trades Joint Training Committee for use with the selection Procedures approved by the Bureau of Apprenticeship and Training U.S. Department of labor.Applicant Signature Date MM slash DD slash YYYY APPLICATION FOR APPRENTICESHIPName First Middle Last 2.Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 3.Social Security Number :* Please only put in the last 4 digitsTelephone No. :4.Gender Male Female 5. American Indian or Alaskan Native Black Asian or pacific Islander Hispanic White other 6.Date of Birth MM slash DD slash YYYY 7.Veteran Yes No 8.Branch of Service Date of Discharge MM slash DD slash YYYY Type of Discharge 9.Work Experience Give Jobs in order, starting with your present or latest job.Include military experience summer jobs and part-time jobs. EMPLOYER CITY TYPE OF WORK FROM TO REASON OF LEAVING 10. HighSchool Graduate GED Name and Address of High School11.Additional Education Background12.Email* Applicant Signature Date MM slash DD slash YYYY Upload documentsAccepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 64 MB.You will need to upload A copy of a valid Driver's License, High School Diploma or GED, Military Transfer or Discharge Form DD-214 (if applicable) PLEASE NOTE: THERE WILL BE A $30 FEE AT THE TIME OF TESTINGApplication Fees* Price: Credit CardPlease check if you have activated a Stripe feed for your form.
