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Application for Ironworkers Local 79 Apprenticeship Program Date: ____________________ First Name _______________________________ Last Name ___________________________________ Address __________________________________ City ______________________State _____ Zip _____ Contact Phone # (____) __________________ Applicant must answer all questions to the best of your ability and any additional information can be added on back by indicating the number of the question followed by your response. You may also attach a resume if desired. Any false information given will result in automatic termination of application. All applications will be reviewed by the Apprenticeship Coordinator. All applicants that meet minimum entry qualifications, per Apprenticeship and Training Standards of Iron Workers Local 79, will be contacted by the Coordinator for aptitude testing. Any of the below questions answered “NO”, with the exception to the first part of #5 and #10, will result in disqualification. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Do you have a birth certificate? Y/N Do you have a valid driver’s license? Y/N Do you have a high school diploma or a GED equivalent? Y/N Do you have a social security card? Y/N Are you former military? Y/N If yes, do you have DD214 with honorable discharge? Y/N Do you have transportation? Y/N Are you able to pass a drug test? Y/N Are you willing to take a math based aptitude test? Y/N Are you at least 18 year of age or older? Y/N Have you ever been convicted of a felony? Y/N What do you find interesting about becoming an apprentice for Ironworkers Local 79? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________