Applications
PERSONAL INFORMATION
First Name: *
Middle Name:
Last Name: *
Address: *
Address 2:
City: *
State: *
Postal Code: *
Country: *
Day Phone:
Eve Phone:
Cell Phone:  *
Other:
Email: *
Date of Birth:
Gender of Applicant:
SSN: *
Information is stored encrypted.
Application for Membership
We need the following original documents: 1. High School Diploma/GED 2. Social Security Card 3. Valid California Driver's License **If you do not have the documents, you will not be called for an interview or test date.**
Question Answer Notes Image Upload File
Please upload a copy of your High School Diploma or G.E.D *
 *
No file chosen
Please upload a copy of your Social Security Card *
 *
No file chosen
Please upload a copy of your Driver's License *
 *
No file chosen
How did you hear about us?
Age
Height
Weight
Driver's License No
High School Graduate
Date Graduated
G.E.D. Certificate
G.E.D Certificate Date Received
Are you a Citizen
Veteran
Veteran Date of Discharge
Ethnicity
Work Experience
Please list jobs in order, beginning with your present employer, including Military experience, summer jobs and part-time jobs.
Current Employer
Question Answer Notes Image Upload File
Are you currently Employed?
Current wage rate
Plumbing/Pipe-Fitting/Welding/Steam-Fitting/Service & Repair years of experience
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Previous Employer
Question Answer Notes Image Upload File
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Previous Employer Two
Question Answer Notes Image Upload File
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Physical Condition
Question Answer Notes Image Upload File
Apprenticeship in the Pipe Trades will require hard physical labor and will require work in high places and confined areas. Do you have any handicaps such as a hernia, back or knee problems, fear of heights or confined areas that would impair you in your work as a Pipe Trades Apprentice?
In relation to working as a Pipe Trades Apprentice, I consider my physical condition to be:
Signature
If, at the time this application is completed, there is no available space in the Apprentice program, I would be willing to work as a Pre-Apprentice:
Question Answer Notes Image Upload File
Signature *
Date *
Signature
I hereby certify that the entries on the application are complete and true to the best of my knowledge. I also authorize my former employers or business associates to give any information, concerning me from available records, and I hereby release them and their companies from any liability. I understand that this application will be declared null and void if the entries found to be untrue. This application in no way is understood to be an indenture agreement, or any other form of guaranteed entry into this apprenticeship program.
Question Answer Notes Image Upload File
Signature *
Date *

Review your signature

Draw your signature

I agree to the term of this application and I understand that this signature is a binding signature.
PERSONAL INFORMATION
First Name:
Middle Name:
Last Name:
Address:
Address 2:
City:
State:
Postal Code:
Country:
Day Phone:
Eve Phone:
Cell Phone:
Other:
Email:
Date of Birth:
Gender:
SSN:
Application for Membership
We need the following original documents: 1. High School Diploma/GED 2. Social Security Card 3. Valid California Driver's License **If you do not have the documents, you will not be called for an interview or test date.**
Question Answer Upload File
Please upload a copy of your High School Diploma or G.E.D
Please upload a copy of your Social Security Card
Please upload a copy of your Driver's License
How did you hear about us?
Age
Height
Weight
Driver's License No
High School Graduate
Date Graduated
G.E.D. Certificate
G.E.D Certificate Date Received
Are you a Citizen
Veteran
Veteran Date of Discharge
Ethnicity
Work Experience
Please list jobs in order, beginning with your present employer, including Military experience, summer jobs and part-time jobs.
Current Employer
Question Answer Upload File
Are you currently Employed?
Current wage rate
Plumbing/Pipe-Fitting/Welding/Steam-Fitting/Service & Repair years of experience
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Previous Employer
Question Answer Upload File
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Previous Employer Two
Question Answer Upload File
Employer Name
Employer City
Type of Work
Start Date
End Date
Reason for Leaving
Physical Condition
Question Answer Upload File
Apprenticeship in the Pipe Trades will require hard physical labor and will require work in high places and confined areas. Do you have any handicaps such as a hernia, back or knee problems, fear of heights or confined areas that would impair you in your work as a Pipe Trades Apprentice?
In relation to working as a Pipe Trades Apprentice, I consider my physical condition to be:
Signature
If, at the time this application is completed, there is no available space in the Apprentice program, I would be willing to work as a Pre-Apprentice:
Question Answer Upload File
Signature
Date
Signature
I hereby certify that the entries on the application are complete and true to the best of my knowledge. I also authorize my former employers or business associates to give any information, concerning me from available records, and I hereby release them and their companies from any liability. I understand that this application will be declared null and void if the entries found to be untrue. This application in no way is understood to be an indenture agreement, or any other form of guaranteed entry into this apprenticeship program.
Question Answer Upload File
Signature
Date