Apprenticeship Application for CCL - NORTHERN CA LABORERS' TRAINING CENTER

Valid CA Drivers License? *

You must have a valid government issued photo ID to be accepted into the apprenticeship program, you do not need one to apply. Examples: Driver’s License, Passport, Green Card, State ID, Military ID, Tribal Documents

Yes

Are you a graduate of a Pre-Apprenticeship Program? *

Yes

Are you 18 years of age or older? *

You must be 18 years of age to enroll in the apprenticeship program

Yes

Are you aware of the duties and responsibilities of a Laborer? *

Yes

Please list any construction related experience, training or instruction you have received

Highest Year of Education Completed *

8th Grade of Less

1 Year of College

9th Grade

2 Years of College

10th Grade

3 Years of College

11th Grade

4 or more Years of College

12th Grade (or GED Certificate)

Have You Served on Active Duty (other than reserve status) in U.S. Armed Forces ? *

Yes

Number of Dependents (Do not count yourself) *

None

One

Two

Three

Four

Five

Six or more

Number of Years You Have Been Employed Full Time to Date (Except for Military Service) *

None

Less Than 1 Year

1 But Less Than 2 Years

2 But Less Than 3 Years

3 But Less Than 4 Years

4 But Less Than 5 Years

5 Years or More

Career Linkage or Direct Entry *

None

Adult

Youth

HUD/STEP-UP

Incumbent Worker

Job Corps

Dislocated Worker

Direct Entry

School-to-Registered-Apprenticeship