Apprenticeship Application

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International Union of Operating Engineers Local 49

and

Associated General Contractors of Minnesota

Apprenticeship and Training Program

NOTICE TO APPLICANT: The information you provide to complete this page is for affirmaive action tracking purposes. See the following document for data explanations.

Are you 18 years or older?

Yes

Are you a high school graduate or possess a GED or equivalant?

Must be able to provide documentation

Yes

Education Level

I have a valid driver's license. The current status is:

Last Name

First Name

Middle Initial

Street Address

Postal Code

City

State

County

SSN

Email Address

Ethnicity *

Hispanic or Latino

Non-Hispanic or Latino

Do not wish to answer

Race *

American Indian or Alaska Native

Asian

Black or African American

Native Hawailan or Other Pacific Islander

White

Do not wish to answer

Are you disabled/handicapped? *

Yes

Sex *

Male

Female

Do not wish to answer

How do I know if I have a disability?

You are considered to have a disabiliity 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 limb, post-traumatic stress disorder (PSTD), obsessive compulsive disorder, impairments requiring the use of a wheelchair, intellectual disability (previously called mental retardation).

Mobile Phone number

Can we text the phone number provided?

Yes

Alternate phone number

Are you legally authorized to work in the Unitied States? *

Yes

Are you a Veteran?

Yes

Where did you hear about the Local 49 Apprenticeship Program?

WDI

School fair/Career day

Community event

Deed

State/County fair

Internet

Other

Have you taken any of the Local 49 OE Pathway classes?

Yes