State:              MO                    IL                                             
St. Louis     Belleville

Apprentice Job Placement Form

Read this before completing!

    Date:

This form will be destroyed every two weeks. You Must call the employment Counselor. If you return to work call 314.457.8300 and leave a message @ ext. 5606 (St. Louis), or 618.277.2051 ext. 5097 (IL). Be sure to state your name and new employer (Contractor).

Name:                 

City:                    

Phone Numbers:      Counselor must be able to leave a Phone Message!
       (Make sure it is a number(s) where you can be reached!)

Sex:    Male            Female

Local #:

Current Term:
Applicant
Apprentice

Ethnic Group:
Native American (Cherokee, etc.)
African American (Black)
Latino (Hispanic)
Asian or Pacific Islander (Chinese, etc.)
Caucasian (White)

1st Term
2nd Term
3rd Term
4th Term

5th Term
6th Term
7th Term
8th Term

Job Site Experience:
Check all that apply - Check Residential (Res:), Commercial (Com:) or both depending on experience
Acoustical Ceilings:                           
Bridge Work
Pile Driving
Concrete Forms:                                 
Welder                      Certified?      Yes                       No   
Metal Stud Framing:                          
Drywall:                                               
Millwright
Office Furniture
Fixture Work
Wood Framing:                                  
Trim:                                                     
Siding:                                                  
Other:

List All Previous Contractors that you have Worked for:

 

Please Fill Form Out Completely!