General Background Information

A conviction record will not necessarily be a bar to acceptance, but may be relevant if job related. If marked YES please provide details in separate confidential letter

Emergency Contact Information

Current Employer Information

List from date and to date.

Job Related Experience

Apprenticeship Conditions

I am aware that in this construction trade, you must travel to various construction projects within numerous counties covered by this apprenticeship program. I must have reliable means of transportation to travel to these projects.
I am aware that this apprentice program has attendance of at least 144 hours per year of related training in addition to your normal working hours. I will be required to attend these related training classes without monetary compensation, even if those classes are held during a normal working day.
I am aware that employment in this trade may not be full time and there may be periods of unemployment due to weather, economic conditions and other circumstances.
I am aware that apprentices start at a percentage of journeyman rate and receive periodic increases. These increases are not automatic but depend on the progress made by the apprentice in on-the-job training and related training.
I am aware that this occupation could involve the lifting of heavy objects, working in confined areas and working in high places.
I will comply with drug testing enforcement based on employer/Apprentice agreement.
Tuition/fee of $3700.00 is payable on acceptance into WCCA Apprenticeship Program.
The Western Colorado Contractors Association ATC will not discriminate against apprenticeship applicants or apprentices based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, genetic information, or because they are an individual with a disability or a person 40 years old or older. The Western Colorado Contractors Association ATC will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30.
I authorize investigation of all statements contained herein and authorize my former employers, references and/or schools I have attended to release any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same.
I have read and understand these apprenticeship conditions and I declare that any statement in this application and other information provided is true and complete. I also authorize the verification of information provided except where specifically noted otherwise.

Applicant’s information is confidential. Application is pending acceptance and does not guarantee placement in program until approved by WCCA and Dept. of Labor.