Applying To Local Lodge
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Application Type
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Social Security Number
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Address
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Last Name
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First Name
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City
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Middle Initial
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State/Zip Code
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Home Phone
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Email Address
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Cell Phone
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Verify Email
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Do you wish to be contacted about apprenticeship opportunities at other area lodges?
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The Boilermaker National Joint Apprenticeship Program will not discriminate against apprenticeship applicants or apprentices
based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, age, genetic
information, or because they are an individual with a disability. The Boilermaker National Joint Apprenticeship Program 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.
You have the right to file a discrimination complaint with the Equal Employment Opportunity Commission (“EEOC”) and/or the
Registration Agency with whom the apprenticeship program is registered. Please see the attached notice regarding your right
to file such a complaint and the procedures for doing so.
You also have the right to file complaints of discrimination and/or harassment with the Boilermaker National Joint Apprenticeship
Program and/or the Area Apprenticeship Programs using the complaint procedures set forth in the Area Program’s Discrimination &
Harassment Policy. A copy of this policy will be provided to you at the beginning of your apprenticeship and is immediately
available upon request.
This information voluntarily provided below is simply for equal employment opportunity
commission (EEOC) purposes. This information will assist us in our efforts to provide
accurate information in compliance with EEOC regulations and requirments.
I have checked all the above to indicate my understanding, and state that, to the
best of my knowledge, all information provided on this form is true and accurate.
I agree that any false statements made by me in this application shall constitute
grounds for disqualification of my selection or grounds for my discharge, if false
information is discovered after being selected for apprenticeship.
I hereby apply for an apprenticeship indenture with this sponsor and agree that
if selected, I will abide by all Standards, Rules and Policies covered by the Indenture
(Apprenticeship Agreement).
Please provide your firstname and lastname between two forward slash "/" symbols
in order to indicate your agreement to these terms. (Examples: /firstname lastname/,
/John Doe/)
Application Entry
In order to complete this application, please fill in all the information requested
in this document.
Prior to submitting this document, you will be required to fill out the CAPTCHA
(Completely Automatic Public Turing Test to Tell Computers and Humans Apart) before
submitting this application.
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