2022 Application Form - Teamsters AGC Training

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 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 Record

High School:(Required)

Date Finished:(Required)

Name of High School:(Required)

City(Required)

Additional Schooling:

Date Finished:

Name of School:

City

Applicant’s Work Experience

List 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)

Number of Months worked:(Required)

Nature of work done:(Required)

Firm name & address:(Required)

Start Date:(Required)

Number of Months worked:(Required)

Nature of work done:

Firm name & address:

Start Date:

Number of Months worked:

Firm name & address:

Nature of work done:

Start Date:

Number of Months worked:

References of Applicant (Do not include relatives)

Reference 1:(Required)

Name

Phone Number

City

Relationship to Applicant:

Reference 2:(Required)

Name

Phone Number

City

Relationship to Applicant:

Reference 3:(Required)

Name

Phone Number

City

Relationship to Applicant:

State 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)

Upload a copy of your FULL Driving Abstract Record:(Required)

Drop files here or

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/index

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Application for Apprenticeship

Applicant’s School Experience Record

Applicant’s Work Experience

References of Applicant (Do not include relatives)