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pre-apprenticeship application
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pre-apprenticeship application
Applicant Information
First Name
(Required)
Middle Initial
(Required)
Last
(Required)
Address
(Required)
Apartment and/or Unit #
City
(Required)
State
(Required)
Please choose one:
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
(Required)
Phone #
(Required)
Email
(Required)
Date of Birth (Month/Day/Year)
(Required)
Social Security #
(Required)
Sex
(Required)
Please choose one:
Male
Female
Prefer not to answer
Ethnicity
(Required)
Please choose one:
Hispanic/Latino
Non-Hispanic/Latino
Do not wish to disclose
Race
(Required)
Please choose one:
Alaskan Native
African American
American Indian
Asian American
Hawaiian Native or other Pacific Islander
Hispanic
White
Other
The Keystone Chapter of Associated Builders & Contractors, Inc. is an Equal Opportunity Employer and Educator. Pre-apprentice applicants will be selected based on qualifications, without regard to race, color, religion, national origin, gender, or non-job-related disability. The organization will take affirmative action to ensure equal opportunity in apprenticeship, complying with Title 29 of the Code of Federal Regulations, Part 30, and the Equal Employment Regulations of Pennsylvania.
Veteran Status
(Required)
Please choose one:
Yes
No
Disability
(Required)
Please choose one:
Yes
No
Do not wish to disclose
Criminal Background (misdemeanor or felony)
(Required)
Please choose one:
Yes
No
Education & Employment
Highest level of education completed/attained:
(Required)
Please choose one:
Some High School or Less
High School Diploma or GED
Vocational Certificate or Credential
Other
School Name (Current or past school):
Employment status prior to becoming a pre-apprentice?
(Required)
Please choose one:
Employed (not by employer/sponsor)
Existing Employee
Unemployed, no prior work history
Unemployed, please enter the last date of employment
If unemployed, please enter the last date of employment.
Referral Entity
Company Name
Email
By checking this box and typing your full name below, you are electronically signing your application.
(Required)
I affirm that all the information supplied above is accurate and truthful. I understand that providing false or misleading information will disqualify me from the apprenticeship program.
E-Sign
(Required)
Questions
Contact: Stephanie Larkin, VP of Education, Safety & Workforce Development stephanie@abckeystone.org or call (717) 653-8106