Application

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* Indicates required field

1. Name *

2. Address *

Line 1

Line 2

City

State

Zip Code

Country

3. Phone Number *

4. Email *

5. I prefer *

Call Text Email

6. How did you hear about us? *

7. Training Center Location Closest to you *

8. Do you know someone involved in Bricklayers & Allied Craftworkers IN/KY Apprenticeship Program? *

Yes No

If Yes, who? *

9. Have you applied to the program before *

Yes No

10. Do you have Military experience? *

Yes No

11. Have You Been Convicted of a Felony? *

Yes No

If Yes, Please Explain: *

12. Are You Physically Able To Perform The Functions Of The Job? *

Yes No

13. Are you currently employed? *

Yes No

If Yes, Where & How Long? *

14. Attach Copy of Birth Certificate *

Max file size: 20MB

15. Attach Copy of Drivers License *

Max file size: 20MB

16. DRUG & ALCOHOL TEST
THE TRUSTEES OF THIS FUND REQUIRE ALL APPLICANTS TO TAKE A DRUG AND ALCOHOL TEST. THE MANAGING DIRECTOR WILL DESIGNATE THE COLLECTION SITE AND DATE OF THE APPLICANT’S DRUG AND ALCOHOL TEST. THE APPLICANT AGREES THAT THE TEST RESULTS WILL BE SENT TO ROGER JONES, MANAGING DIRECTOR. FAILURE TO TAKE REQUIRED TEST WITHIN THE DESIGNATED TIME AUTOMATICALLY RESULTS IN THE APPLICANT’S REJECTION FROM THE PROGRAM. FAILURE TO PASS THE REQUIRED TESTINGS WILL RESULT IN THE AUTOMATIC REJECTION OF THE APPLICANT. AFTER AN APPLICANT IS REJECTED FOR FAILURE TO TAKE THE REQUIRED DRUG TEST OR FAILURE TO PASS THE REQUIRED DRUG TEST AN APPLICANT MUST WAIT THE MINIMUM OF ONE YEAR AFTER THE DATE OF THE DESIGNATED DRUG TEST TO REAPPLY. A RANDOM TESTING WILL BE CONDUCTED DURING PRE-APPRENTICE CLASSES.

The Apprentice Applicant Agrees to Take a Drug & Alcohol Test and to Release the Results to BAC 4 IN/KY Apprenticehip & Training Program *

Yes, I Agree

17. COMPLAINT PROCEDURE - TITLE 29 CFR 30.14
Any apprentice or applicant for apprenticeship who believes that he or she has been discriminated against on the basis of on race, color, religion, national origin, sex, sexual orientation, age (40 or older), genetic information, and/or disability with regard to apprenticeship, or that the equal opportunity standards with respect to his or her selection have not been followed in the operation of an apprenticeship program, may personally or through an authorized representative, file a complaint with the department of labor. The complaint must be filed not later than 300 days from the date of the alleged discrimination or specified failure to follow the equal opportunity standards. The complaint shall be in writing and shall be signed by the complainant. It must include the name, address and telephone number of the person allegedly discriminated against, the program sponsor involved, and a brief description of the circumstances of the failure to apply the equal opportunity standards.

I CERTIFY THAT I HAVE RECEIVED A COPY OF THE COMPLAINT PROCEDURES IN ACCORDANCE WITH TITLE 29 CFR 30.14 *

Yes

18. AFFIRMATIVE ACTION INFORMATION FORM
The following information is being requested to comply with government regulations. The requested information is for affirmative action statistical purposes only and will not be kept with your application.

Please answer all 4 categories.

Gender *

Race *

Ethnic Group *

Disability *

Submit

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Apply Now to Start your Career
as a Bricklayer

Apply Now - if you have difficulty providing documents, let us know

Training the Best Hands in the Business

Apply Now to Start your Careeras a Bricklayer

Apply Now - if you have difficulty providing documents, let us know

Training the Best Hands in the Business

Apply Now to Start your Career
as a Bricklayer