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IEC Dallas -NEW Student Apprenticeship Application
All applicants will be required to provide the following documents:
• Valid Driver’s License
• Social Security Card
• High School transcript, diploma, or GED certificate
• Current State Apprentice Electrician License (www.tdlr.texas.gov)
• DD 214 (if veteran)
• Letter of Recommendation from previous/present Employer
• Males must register with Selective Service (www.sss.gov)
• $25.00 Application Fee
• Applicants who are not employed by a contractor, must pass a drug test.
*If you are a current IEC Dallas student - YOU DO NOT NEED TO REAPPLY!
Name
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First
Middle
Last
For which term do you seek admission?
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Please select
Fall 2023/2024
Email
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Cell Phone
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Date of Birth
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MM
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DD
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YYYY
Social Security Number
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Gender
Male
Female
Non-Binary
Prefer not to answer
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Ethnicity
*
Please select
Caucasian
African American
Asian American/ Pacific Islander
Hispanic/ Latino
Native American/Alaskan
Other
Are you 18 years or order?
*
Please select
Yes
No
Are you eligible for employment in the United States?
*
Please select
Yes
No
Do you have a vehicle or reliable transportation?
*
Yes
No
Are you a US citizen?
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Yes
No
Drivers License Number
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Drivers License Exp Date
*
State of Drivers License
*
Have you ever been charged with a violation of the law which resulted in, or if still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including traffic violations which resulted in a fine of $200 or more?)
*
Yes
No
If yes, please explain.
Level of Completed Education
*
Please select
High School / State Authorized Equivalent
GED
Did not graduate
Some College
College
Have you previously applied for this program?
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Yes
No
If yes, when?
Select your preferred method of training.
*
Blended (online one week & in person the next week)
Online ONLY
In person (class, in person one day a week)
Emergency Contact
Name
*
First
Last
Relationship
*
Please select
Parent
Grandparent
Legal Guardian
Spouse
Sibling
Child
Friend
Inlaw
Cell Phone
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Government/Military
Are you a veteran of the U.S. Military?
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Yes
No
If yes, are you disabled?
*
Yes
No
N/A
Are you eligible for V.A. benefits?
*
Yes
No
N/A
If YES, have you used your benefits with another institution?
*
Yes
No
N/A
If YES, please list the name(s) where you V.A. benefits were used.
Male applicant, are you registered with Selective Services?
*
Yes
No
Female (N/A)
If NO, please visit https:www.sss.gov/register/
Employment History
Are you currently employed?
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Yes
No
Name of current or most recent employer
*
May we contact the listed employer
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Yes
No
Company Phone
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Start date of employment
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End date of employment (if applicable)
Job Title
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Supervisor Name
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Rate of pay
*
Brief description of work performed
*
Reason for leaving (if applicable)
References
Please provide contact information for 2 personal/professional references below. (previous/current employer, teacher, family friend, etc.)
Name
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First
Last
Phone
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Email
Relationship, please including years known.
Name
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First
Last
Phone
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Email
Relationship, please including years known.
Documents
Upload a copy of your Drivers License
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Upload a copy of your Social Security Card
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Upload High School Diploma, GED or equivalent.
*
Upload Selective Services registration confirmation
Upload State Apprenticeship License
*
www.tdlr.texas.gov
Upload work VISA
DD214 (if appliciaple)
Standards of Apprenticeship
This document is an overview of the standards for IEC Dallas Chapter under which we operate and administer the Apprenticeship Program. The program is registered with the Office of Apprenticeship, U.S. Department of Labor.
I have read and I understand the Standards of Apprenticeship document
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Yes
No
Employment with IEC Contractor Member
To fulfill the requirement that an Apprentice work full time while attending school, IEC Dallas will arrange for you to interview with Contractor members regarding employment. Applicants for the Apprenticeship Program are to be provided no more than three (3) contractor members to interview. The applicant will not be eligible to enter the program until hired by an IEC Contractor Member.
I have read and I understand the Employment with and IEC Contractor Member
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Yes
No
Apprentice-Employer Relationship Commitment
While employed by the Member Contractor, the Apprentice will abide by that Contractor's policies and instructions.
The Apprentice is not to transfer from one Contractor to another. Under NO CIRCUMSTANCE will an apprentice seek a job with another Member Contractor while in the program. To do so is grounds for automatic termination from the program.
I have read and I understand the Apprenticeship-Employer Relationship Commitment.
*
Yes
No
I understand that the is a non-refundable Application of $25 that must be paid before my application is processed?
*
Yes
No
I HAVE READ AND UNDERSTAND THE ABOVE REQUIREMENTS OF THE IEC DALLAS APPRENTICESHIP PROGRAM AND AGREE TO EACH OF THEM AS INDICATED BY MY SIGNATURE BELOW
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Yes, I understand and agree to the terms listed above.
Signature
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Clear
Date
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MM
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Credit Card Information
Name as it appears on card
First
Last
Card Number
Expiration Date
CVV
Billing zip code