Des Moines Apprenticeship Request for an Application

I am requesting an application for the:         Inside Program              Residential Program             Telecommunications Program        

Have you ever applied for this program before?  YES   NO    If yes, when?(Date) 

First Name Middle Initial       Last Name   

Date

Address   City      State      Zip Code    

Phone #  -  -    Email Address

I do hereby request an application form to apply for the apprenticeship program.  I understand and accept full responsibility for completing the application form upon receipt, returning it to the apprenticeship office, and submitting all subsequent required documents and information within the specified time frame.  I am requesting this application form for my own personal use.  I understand that it is my responsibility to keep the apprenticeship program’s office notified of my current mailing address and telephone number.   
 

Notice of Application Fee

In order to receive an Application for one of the Apprenticeship Programs, an Application Fee of $25.00 is required. 

You will need to submit Credit Card information to pay for the application fee.  This fee will be collected before you can access the application. 

If you would prefer to pay with cash or check, you will need to visit Des Moines Electrical Apprenticeship, 10700 Justin Drive, Urbandale, IA 50322

Check here to indicate that you have read and understand the notice.

Qualification Documents that will be needed during the Application Process

As an applicant for the apprenticeship program, I understand that it is my responsibility to provide all of the following information.  I further acknowledge that I must submit all required information to the JATC within 30 days of the date that I submitted my application form.  Therefore, I am responsible to see that all documents are received by the JATC.

• Provide a copy of your valid driver’s license.
• Provide an OFFICIAL transcript for high school and post-high school education and training. All HiSET or GED records must be submitted if applicable.

 Check here to indicate that you have read and understand the requirements.

Apprenticeship Employment Jurisdiction

• Telecommunication Technician: The counties of Dallas, Polk, Jasper, Madison, Warren, Hardin, Carroll, Greene, Boone, Story, Marshall, Tama, Audubon, Guthrie, Adair, Union, Clarke, Lucas, Ringgold, Decatur, Adams, Cass, Montgomery, Page, Taylor, Wayne, Marion, Mahaska and Monroe.

Check here to indicate that you have read and understand.

Notice of Post-Selection Procedures

As an apprentice in this apprenticeship and training program, I understand that if selected for the apprenticeship program, such a selection may be conditioned upon successfully completing additional steps that are set forth in this Program’s Standards and Selections Procedures and that these may include a physical examination or other medical inquiries; drug testing; additional documentation of my background; a background check; a boot camp; or other pre-indenture requirements.

I understand that I must be physically and mentally able to safely perform or learn to safely perform the essential functions of the job of an electrical worker in the type of program for which I am applying, either with or without reasonable accommodations; and that the necessary abilities typically include the following:  repetitively lift and carry more than 50 pounds; climb and work from ladders, scaffolds, poles and towers of various heights; crawl and work in confined spaces such as attics, manholes and crawlspaces;  and to write, read, hear, and understand instructions and warnings in English.  

 Check here to indicate that you have read and understand the notice

Wages and Pay Periods

Inside Program Periods

Telecommunication Program Periods

Residential Program Periods

Additional Notice of Information

To qualify for an oral interview, an applicant must obtain a score of “4” or higher, using the electrical trade’s aptitude test developed and validated by the American Institutes for Research.

Applicants who qualify for an oral interview are interviewed in the order in which they complete the application process.

Before being indentured, applicants selected from the pool of interviewed applicants must be at least 18 years of age.

Before being indentured, applicants selected from the pool of interviewed applicants may be required to provide results of a physical examination and a drug test as determined by the JATC.

The recruitment, selection, employment and training of apprentices during their apprenticeship, shall be without discrimination because of race, color, religion, national origin, sex or age – except the applicant must be at least 17 years of age to apply and 18 years of age at time of indenture.  The JATC does not, and will not, discriminate against a qualified individual with a disability because of the disability of such individual.

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