HVACR & Plumbing Service Tech Application

Documents Required
READ BEFORE PROCEEDING
You will be REQUIRED to upload the following documents with you application in order for it to be considered. Please be sure you have ALL documents BEFORE you begin the application. Failure to attached required documents will result in your application being rejected. Documents must be in one of the following formats: .docx, .doc, .pdf, .txt, .jpg)
1. ACT WorkKeys for the following tests with scores of 4 or higher. The ACT WorkKeys are available to be taken at Michigan Works! and/or Delta College.
    a. Graphic Literacy (previously known as Locating Information)
    b. Applied Mathematics
    c. Workplace Documents (previously known as Reading for Information)
2. High School Diploma or GED Scores
3. Transcripts either High School or College
4. Birth Certificate or Driver’s License

Qualifications necessary for an applicant to be considered a probationary UA Local 85 Apprentice

1. Must be at least 18 years of age. (See Section III-B-2 Qualifications of Applicants for Apprenticeship in the National Guideline Standards of Apprenticeship)
2. Complete this application with all required documents uploaded and attached as indicated above.
3. Appear for interview when notified.

If you are accepted for a probationary Apprentice, you will be required to:

1. Serve as a probationary apprentice for a period of 1 year (1,700-2,000 hours of on-the-job training)
2. Serve as a 5 year apprenticeship including the probationary period (8,500-10,000 hours of on-the-job training)
3. Report to work on a regular basis.
4. Provide for your transportation to and from the job site.
5. Work under the direction of a Journey Worker on the job site and perform duties satisfactorily.
6. Attend related training classes regularly and maintain an acceptable average in those classes.
7. Purchase text material for use in related training classes as required.
8. Abide by all rules and regulations of the Joint Apprenticeship and Training Committee.

EXPERIENCE
Experience Level*
How many years of experience do you have in the HVACR & Plumbing Service field?
CONTACT INFORMATION
Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Social Security Number*

PERSONAL DATA
Date of Birth*
MM
DD
YYYY
Gender*
Race*
Are you currently employed?
Are you a veteran of the armed forces?*
Which branch of service?
Length of Service:
Date of Discharge:
MM
DD
YYYY
Type of Discharge:

POSITION APPLIED FOR
Position Desired:*
Date you can Start:*
MM
DD
YYYY
How did you hear out us?*
RECORD OF EDUCATION & TRAINING
High School or GED Education
High School/GED:*
Did you complete?*
Last Year Completed*
College Education
Did You Attend College?*
College:
Course of Study
Did you complete?
Last Year Completed
List Degree or Diploma
Trade or Business School
Did You Attend Trade or Business School?*
Trade or Business:
Did you complete?
Last Year Completed
EMPLOYMENT HISTORY
Begin with your present or most recent job.
If fewer than three jobs, type "NA" in the box.
Employment History*
Date, Salary, Name & Location, Position, Reason for Leaving
Employment History*
Date, Salary, Name & Location, Position, Reason for Leaving
Employment History*
Date, Salary, Name & Location, Position, Reason for Leaving

PERSONAL REFERENCES
No Relatives.
Name:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone Number:
Years Known & Relationship
Name:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone Number:
Years Known & Relationship
Name:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone Number:
Years Known & Relationship

EMPLOYEMENT ELIGIBILITY
Are you authorized to work in the United States?*
Can you supply proof of such authorization?*
If you are hired you will be required to submit proof of citizenship or furnish proof of your right to work in the United States.
Do you have a valid Drivers License?*
List Reason For Not Having a Valid Drivers License.
Please include any information you think would be helpful to us in considering you for employment.
I authorize all persons and companies named above to release information pertaining to my employment history and hereby release all parties from liability for damage for providing this information.

IF YOU HAVE ANY QUESTIONS, PLEASE CALL BEFORE SUBMITTING.
(989) 799-5261 ext. 10
ACT Work Keys (With Scores of 4 or Higher)*
a. Graphic Literacy (previously known as Locating Information)
b. Applied Mathematics
c. Workplace Documents (previously known as Reading for Information)
Drop files here or

Accepted file types: jpg, gif, png, pdf.
High School Diploma or GED Scores*
Drop files here or

Accepted file types: jpg, gif, png, pdf.
High School or College Transcripts*
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of Birth Certificate or Drivers License*
Drop files here or

Accepted file types: jpg, gif, png, pdf.
E-Signature
First Last
E-Signature
First Last
Confirm E-Signature
First Last
Date*
MM
DD
YYYY

UA Local 85 - HVACR & Plumbing Service Tech Application

Step 1 of 8

Documents Required

Qualifications necessary for an applicant to be considered a probationary UA Local 85 Apprentice

If you are accepted for a probationary Apprentice, you will be required to:

EXPERIENCE

CONTACT INFORMATION

PERSONAL DATA

POSITION APPLIED FOR

RECORD OF EDUCATION & TRAINING

EMPLOYMENT HISTORY

PERSONAL REFERENCES

OCCUPATIONAL SKILLS PROFILE

EMPLOYEMENT ELIGIBILITY

IF YOU HAVE ANY QUESTIONS, PLEASE CALL BEFORE SUBMITTING.