Application for Apprenticeship Step 1 of 4 25% Applicants Name:(Required) Social Security No. (for ID only) :(Required) Date Of Birth:(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Drivers License Number:(Required) Issuing State:(Required) Expiration Date:(Required) Do you possess a Commercial Driver’s License?(Required) Yes No Please upload a photo of your current drivers license:(Required)Max. file size: 50 MB.Do you possess any License Endorsements?(Required) Class A Class B Doubles Tripples Tankers HazMat None of the above Military status:(Required) Non-vet Vietnam era vet Other than Vietnam era vet Sex(Required) Female Male Race:(Required) Asian Black or African American American Indian or Alaska Native Hispanic Native Hawaiian Pacific Islander White Other Current education level:(Required) 8th Grade 9th-12th Grade GED High School Graduate College or greater Applicant’s School Experience RecordHigh School:(Required) Date Finished:(Required) MM slash DD slash YYYY Name of High School:(Required) City(Required) Additional Schooling: Date Finished: MM slash DD slash YYYY Name of School: City Applicant’s Work ExperienceList the name & address of each employer for whom you have worked, including military service. List the present employer first. Firm name & address:(Required) Nature of work done:(Required) Start Date:(Required) MM slash DD slash YYYY Number of Months worked:(Required) Nature of work done:(Required) Firm name & address:(Required) Start Date:(Required) MM slash DD slash YYYY Number of Months worked:(Required) Nature of work done: Firm name & address: Start Date: MM slash DD slash YYYY Number of Months worked: Firm name & address: Nature of work done: Start Date: MM slash DD slash YYYY Number of Months worked: References of Applicant (Do not include relatives)Reference 1:(Required)NamePhone NumberCityRelationship to Applicant: Add RemoveReference 2:(Required)NamePhone NumberCityRelationship to Applicant: Add RemoveReference 3:(Required)NamePhone NumberCityRelationship to Applicant: Add RemoveState briefly why you would like to become an apprentice in the Construction Teamster Trade:(Required)State briefly what skills you possess that would help you become a Construction Truck Driver:(Required)Are you prepared to attend the supplemental related training classes for the required 144 hours per year?(Required) Are you willing to work out of town?(Required) Have you ever been in an apprentice program?(Required) How did you learn about the apprenticeship program?(Required) If you were referred, who referred you?(Required) Consent(Required) I agree to the privacy policy.I have reviewed the Qualifications of Driver’s Requirements contained in Part 391.11 of the Federal Motor Carrier Safety Regulations and believe that I will be able to qualify for a Commercial Driver’s License upon completion of the 6 weeks of initial training. I certify that the information given by me is true and complete to the best of my knowledge. Upload a copy of your FULL Driving Abstract Record:(Required) Drop files here or Select files Max. file size: 50 MB. If you do not obtain a Driving abstract records please copy and paste the links into your browser: WA Driving Abstract Record: https://www.dol.wa.gov/driver-licenses-and-permits/driving-records/get-your-driving-record ID Driving Abstract Record: https://www.accessidaho.org/itd/driver/record/indexCAPTCHA
