Fill Out Your Application Here.

The Raleigh-Durham Electrical J.A.T.C. office accepts applications throughout the year from anyone expressing interest. When an application has been completed and all the requirements are met, the J.A.T.C. will refer the completed application to the appropriate sub-committee for interview and ranking. Only those applicants who meet the Minimum Requirements of the training standards shall be considered.

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Apprenticeship Application

Step 1 of 2

Name*
First Last
Date of This Application*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County*
Home Phone
Mobile Phone
Email*
Last Four Digits of Social Security Number
Name Change
First Last

Please provide the name that will appear on documents or transcripts that you submit, if it is different than your present name.
Required Information
Check items to indicated your means of qualification for apprenticeship.
1. Means of Qualification*
- I believe I can meet all minium qualifications for apprenticeship.
- I can produce undisputable documentation to verify that I have at least 4,000 hours of electrical construction work experience.
- I am currently performing electrical construction work for an electrical contractor who became signatory to a union cotract.
- I am among the 50%, 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 transfer into this program from another IBEW/NECA registered apprenticeship program for the same trade.
EDUCATION
2. Years of Education*
- Less than 10
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- More than 18
Indicate the years of formal education you have completed.
3. Are you a High School Graduate?*
- Yes
- No
If NO, do you have a GED?
- Yes
- No
4. Degree 1 (Highest Degree Earned)

List College Degree(s) earned.
Major 1
School 1
Degree 2 (Second Highest Degree Earned, if any)
Major 2
School 2
5. Have you received one (1) full credit for Algebra or some higher math course, from an accredited school?
- Yes
- No
5a. Indicate Math course(s) completed:
- Algebra I
- Algebra II
- Geometry
- Trigonometry
- Calculus
- NJATC Tech Math
6. Have you completed any vocational/technical courses or training during or after high school?
- Yes
- No
6a. List courses and/or training completed:
BACKGROUND
7. Have you served in the US military?
- Yes
- No
If YES, how long, in Months
Which Branch?
- Army
- Navy
- Air Force
- Marines
- Coast Guard
- Military Reserve
7c. List which military training schools you have completed, if any.
8. Have you ever been convicted of a felony?
- Yes
- No
(Conviction will not automatically disqualify you.)
If YES, explain the conviction:
9. Do you have electrical construction work experience?
- Yes
- No
9a. If YES, how many months?
10. Do you have other construction work experience?
- Yes
- No
11. Do you have any electrical/electronic work experience?
- Yes
- No
12. Have you applied with this apprenticeship program before?
- Yes
- No
12a. If YES, how many times?
13. Are you now, or have you ever been, a registered apprentice?
- Yes
- No
13a. If YES, list apprenticeship sponsor or employer:
13b. If YES, are you still an active apprentice in that program?
- Yes
- No
14. Do you have a valid Driver's License?
- Yes
- No
15. Do you have a Commercial Driver's License (CDL)?
- Yes
- No
15a. If YES, what class CDL do you have?
- A
- B
- Other
INTERESTS & ABILITIES
16. List the main reason or reasons, you are applying for this apprenticeship program.
17. Are you physically and mentally able to safetly perform or learn to safely perform essential functions of the job either with or without reasonable accommodatios?
- Yes
- No
18. Are you able to get to and from work at job sites anywhere within the geographical area that this apprenticeship program covers?
- Yes
- No
19. Are you able and willing to attend all related classroom training as required to complete your apprenticeship?
- Yes
- No
20. Are you able to climb and work from ladders, scaffolds, poles and towers of various heights?
- Yes
- No
21. Are you able to crawl and work in confined spaces such as attics, manholes and crawlspaces?
- Yes
- No
22. Are you able to read, hear, and understand instructions and warnings?
- Yes
- No
WORK HISTORY
Upload a Work History Summary Sheet
Accepted file types: doc, docx, pdf, Max. file size: 48 MB.
Indicating your present and previous employers, if any. (PDF or Word formats accepted)
23. Are you presently employed?
- Yes
- No
23a. If YES, do you request that we NOT contact your present employer at this time?
- Yes
- No
24. Did you have any part-time or summer jobs while attending school?
- Yes
- No
25. Do you have the legal right to work in the United States of America?
- Yes
- No
26. During the application period, do you have an interest in working with one of our electrical contractors as a helper if work becomes available?
- Yes
- No
If yes, when would you be able to begin?
MM slash DD slash YYYY
STATEMENTS OF UNDERSTANDING
You MUST agree to each statement below to indicate your knowledge and understanding.
A. I am aware that it is my responsibility to keep this program informed of any change in my address or phone number.*
- Accept
B. I have read and understand the basic qualifications for entry into the program.*
- Accept
C. I understand that I must furnish certain specific documentation to provide evidence that I meet the qualifications required for entry into the pool of eligible candidates for this apprenticeship.*
- Accept
D. I understand that it is my responsibility to see that all OFFICIAL transcripts and other required documents are provided in a timely manner. If I fail to do so, my application will become null and void.*
- Accept
E. I understand that interviews for qualified applicants will be conducted in the order in which applications are completed.*
- Accept
F. I understand that any false information provided as part of my application shall be just cause for denial of oral interview, or termination of my apprenticeship indenture agreement, should I be selected for the program.*
- Accept
G. I understand that an incomplete or unsigned application form will NOT be processed.*
- Accept
H. I understand that if selected for the apprenticeship program, such a selection may be conditioned by the sponsor on successfully completing additional steps, including a physical examination or other medial inquiries, drug testing, and/or a background check before signing an indenture.*
- Accept
I have clicked on all of the above (A through H) to indicate my understanding, and state that all information provided on this form is true and accurate. I hereby 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 (23a.). I agree that any false statements made by me on this applications form shall constitute grounds for disqualification of my selection or grounds for my discharge, if false information is discovered after being selected for apprenticeship. I hereby apply for an apprenticeship indenture with this sponsor and agree that if selected, I will abide by all of the sponsor's Standards, Rules and Policies and the Indenture (Apprenticeship Agreement).*

Name
Date*
MM slash DD slash YYYY

Date

Apprenticeship Application

Step 1 of 2

Required Information

EDUCATION

BACKGROUND

INTERESTS & ABILITIES

WORK HISTORY

STATEMENTS OF UNDERSTANDING

Supplemental Information Form