Apprentice Application

Info: First name:*
Middle name:
Last name:*
Nickname:
DOB: (Format: 01/01/1990)*
SSN: (Format: 123-45-6789)*
Drivers license number:*
Gender:
Ethnicity:
Region:
Veteran:
Disabled
Street:*
Street 2:
City:*
State:*
Zip code:*
Primary phone number:*
Primary phone type:*
Email:*
Referral category:

Answers:

Please note: For your application to be considered, you must pay the required $25 application fee. All fees can be paid from your user profile in IEC Dallas's Applicant platform (You will receive access to the platform after your application has been submitted).

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Personal Information

Are you at least 18 years of age? *

Are you legally eligible for employment in the United States? *

Do you have your own vehicle or reliable transportation?*

Education and Training

Do you have a high school diploma? *

If you answered No, have you earned a GED or any other state-authorized high school equivalent?

List any skills or training you have which may apply toward electrical construction: *

Have you previously applied for this program?*

If yes, when?

Military History

Are you registered with Selective Service? *

If you answered NO, please go to: https://www.sss.gov/register/

Are you eligible for any V.A. education benefits?*

If you answered YES, have you used your benefits with another institution?

Personal References

Reference #1 Name *

Reference #1 Phone number: *

Reference #1 years known: *

Employment History

CURRENT or most recent employer: *

May we contact this employer?*

Company Phone:*

Employed from date: *

Employed to date:*

Job Title: *

Supervisor Name:*

Rate of pay: *

Brief description of work: *

Reason for leaving (If applicable):

I CERTIFY AND GUARANTEE THAT ALL STATEMENTS MADE ON THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND WITHOUT MENTAL RESERVATIONS. I UNDERSTAND THAT FALSIFICATION OF THIS APPLICATION MAY RESULT IN MY NOT BEING CONSIDERED FOR EMPLOYMENT OR, IN EVENT I BECOME EMPLOYED BY THE COMPANY, IN MY DISMISSAL. I GRANT PERMISSION FOR THE INVESTIGATION OF ANY AND ALL STATEMENTS CONTAINED IN THIS APPLICATION AND MY DRIVING RECORD AND I HEREBY RELEASE ALL PERSONS OR AGENCIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING THIS INFORMATION TO IEC DALLAS. IN APPLYING FOR THIS PROGRAM, A DRUG SCREEN WILL BE REQUIRED. REFUSAL TO SUBMIT TO AND/OR FAILURE TO PASS DRUG SCREEN WILL RESULT IN BEING REJECTED FOR ENTRY TO THE PROGRAM. YOUR ACCEPTANCE IS CONTINGENT UPON FURNISHING DATA REQUIRED UNDER THE IMMIGRATION REFORM ACT AND CONTROL ACT OF 1986.

Full Signature: *

Date: *