Application Form - Northern Nevada Laborers Apprenticeship and Training.

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First Name

Last Name*

Email*

Phone*

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I agree to receive Laborers Union Local 169 text alerts and notifications. By submitting your cell phone number and checking this box, you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.

Answer the Following Questions About Video 1

Email*

Which statement true about on-the-job training?*

A. On-the-job training is paid and you must work for two months to complete the program

B. On-the-job training is paid and you must work for 4000 hours to complete the program

C. On-the-job training is unpaid and you start receiving pay after working for two months

D. On-the-job training is unpaid and you start receiving pay after working for 4000 hours

How old do I need to be to apply to the program?*

A: At least 16 years old

B: At least 18 years old

C: At least 21 years old

D: At least 30 years old

Answer the Following Questions About Video 2

Email*

What is one way to advance through the Laborers Apprenticeship Program?*

A: By getting 400 hours of on-the-job training

B: By getting 1000 hours of on-the-job training

C: By getting 750 hours of related training

D: By getting 1000 hours on-the-job training and 75 hours of related training

How do I complete the Apprenticeship Program?*

A: By working for three years as an apprentice

B: By working at jobs in all categories of work

C: By attending 30 hours of training and working for 400 hours on-the-job

D: By attending 300 hours of related training and working for 4000 hours on-the-job

How do I get credit for my previous work experience?*

A: Describe my work experience and submit the proper documentation

B: Describe my work experience and get letters of recommendation from my previous employers

C: Demonstrate my skills during the application process

D: I can’t get credit for previous experience as an apprentice

Answer the Following Questions About Video 3

Email*

What three organizations are involved in helping you succeed as an apprentice?*

A: The State College Board, the State Apprenticeship Council, and the Labor Commissioners office

B: The Apprenticeship Program, the Union, and the Employers

C: The Apprenticeship Program, the Employers, and the Community College

D: The Union, the Employers, and the Building Trades

What role do the Employers play in the Apprenticeship Program?*

A: Employers hire you, train you on the job, and pay for your wages and benefits

B: Employers hire you and pay your wages and benefits

C: Employers work with community colleges to ensure you get credit for on-the-job training

D: Employers do not play a role in the Apprenticeship Program

Answer the Following Questions About Video 4

Email*

What can be said about drug testing while you are an apprentice?*

A: Drug testing is not required

B: Drug testing is administered by the Apprenticeship Program right after I apply

C: Drug testing happens right before I attend related training and is administered by the Apprenticeship Program

D: Drug testing happens often and I must pass the tests consistently to work and stay in the Apprenticeship Program

How does the Apprenticeship Program track my on-the-job training hours?*

A: I must request that the employer submit a report for every week that I work

B: I must request that the employer submit a report for every month that I work

C: I must request that the Union submit a report for every week that I work

D: I must submit a report of my hours worked every month

Answer the Following Questions About Video 5

Email*

How do I apply to the Northern Nevada Laborers Apprenticeship Program?*

A: Stop by the Union Hall and express my interest, they’ll take care of the rest

B: Go directly to an Employer and apply for a job with them, they’ll take care of the rest

C: Watch the videos, answer the questions, fill out an application, and set up a time for an interview

D: Complete an application in person and wait for a call from the Union

What is the purpose of the Physical Aptitude Test?*

A: To audition for employers during the hiring season

B: To determine if I am physically able to perform the work of the trade

C: To perform feats of strength

D: To demonstrate my balance and coordination

When do I become an apprentice?*

A: When I complete the Physical Aptitude Test

B: When I complete Phase 1 of the application process

C: When I accept my first job

D: When I complete 4000 hours of on-the-job training and 300 hours of related training

CONTACT INFO

First Name*

Last Name*

Email*

Phone*

Address*

City*

State*

Postal code **

ID & EDUCATION

Highest Level of Education Achieved*

The program requires that you submit two forms of identification. Please upload a photo of your driver's license or state ID… simply click the image below and choose the files that you want to upload.*

Accepted file types: pdf, gif, png, jpeg, jpg, docx, doc, xlsx, xlsorcsv, Max. file size: 50 MB.

Northern Nevada Laborers Apprenticeship and Training

The second form of identification should be a social security card, permanent resident card, or employment authorization card. Employers you work for will ask you to establish both your identification and your authorization to work in the US. Please upload your identification here. Please select the files before pressing enter.*

Accepted file types: pdf, png, gif, jpeg, jpg, docx, doc, xlsx, xlsorcsv, Max. file size: 50 MB.

Social Security Number*

If you have a high school diploma, GED, transcripts that show construction related classes, and any relevant construction-related classes (OSHA 10, First Aid/ CPR, forklift, etc.), we may be able to grant points for your application. Please upload your education, and construction related training documentation here. Please select the files before pressing enter.

Accepted file types: pdf, gif, png, jpeg, jpg, docx, doc, xlsx, xlsorcsv, Max. file size: 50 MB.

STATISTICAL INFO

For statistical purposes only, please check all that apply to you:

Please select your gender:*

Please check all that veteran statuses that apply about yourself:

Veteran

Reserves

Guard

Does Not Apply

Ethnicity

Hispanic

Non-Hispanic

Choose not to disclose

Race (Please check all of the following that apply to you):

American Indian / Alaska Native

Asian

Black / African American

Native Hawaiian / Other Pacific Islander

White

Choose Not to Disclose

VOLUNTARY DISABILITY DISCLOSURE

Do you have a disability*

Why are you being asked to complete this form?
Because we are a sponsor of a registered apprenticeship program and participate in 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.[1] 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, intellectual disability (previously called mental retardation).

CERTIFICATION

This certifies that I meet the minimum qualifications to apply to the Northern Nevada Laborers’ Apprenticeship Program and have completed this application truthfully into the best of my knowledge and belief. I understand that any misstatement or omission by me may void or disqualify my application. I certify that I meet the minimum requirements to apply to the Northern Nevada Laborers’ Apprenticeship Program.

I certify that I am at least 18 years of age.*

Yes

Date of birth*

MM slash DD slash YYYY

I certify that I am physically able to perform the work of the trade, with or without reasonable accommodation.*

Yes

Are you eligible to work in the United States? Most of our employers use E-Verify to confirm your eligibility to work in the United States. If you are not eligible, you will not be able to work those jobs.*

Yes

I understand that the falsification of any information I submit with this application may result in my disqualification as a potential apprentice, or if selected may result in my termination as an apprentice. If you understand and agree, please sign in the box below*

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Answer the Following Questions About Video 4

Answer the Following Questions About Video 5

CONTACT INFO

ID & EDUCATION

STATISTICAL INFO

VOLUNTARY DISABILITY DISCLOSURE

CERTIFICATION

Contact Details

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