Knoxville Area Urban League · LevelUP Pre-Apprenticeship Application

Contact Information

Name

*

Prefix

First Name

Last Name

Suffix

Birthday

*

(mm/dd/yyyy)

Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

County of Residence

*

Cell or Home Phone

*

Social Security #:

*

Are you a U.S. Citizen?

*

If no, are you a permanent resident?

ITN#

Gender

*

Marital Status

*

Race:

*

African American / Black: Origins in any of the Black racial groups of Africa

Alaska Native / Native American: Origins in any of the original peoples of North, South, and Central America

Asian: Origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent

Caucasian / White: Origins in any of the original peoples of Europe, the Middle East, or North Africa

Hawaiian / Pacific Islander: Origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands

Two or More Races: A person identifying with more than one specified racial category

Prefer not to say: Choose not to disclose their racial identity

Ethnicity

*

Are you a U.S. Veteran

*

Highest Education Level Completed:

*

Explain Other Here:

Have you ever been convicted of a felony?

*

Have you ever been convicted of a Misdemeanor?

*

Job Position Desired?

Current or Previous Employer:

*

Current Employment Status:

*

How did you hear about this program?

*

TV

Radio

Newspaper

Friends/Family

Walk-In

Social Media-KAUL Website

Other (Please Specify)

Specify Other Here:

Have you previously competed any NCCER accredited classes?

*

If yes, provide your NCCER ID#:

What skilled trade or trades are you interested in:

Please list construction related work experience (if any):

Briefly tell us why you want to pursue a career in construction:

Disclaimer: PLEASE READ

I understand that participation in this program will require full-time work on construction sites and classroom training one night per week (2.5 hrs). I will commit to complete the eight (8) month program.

I understand that it will be my responsibility to arrange for my own transportation to jobsites in the greater Knoxville area and to arrive on-time.

I understand that while participating in the LevelUP Skills Pre-Apprenticeship Program, my training will be sponsored and overseen by the Knoxville Area Urban League (KAUL) in partnership with Building Traditions by Management Solutions, LLC (MSLLC). I will be employed by Skilled Workforce (SW) and will work for multiple contractor training partners for on-the-job training. Upon completion of the program, MSLLC and SW will assist in transitioning me to full-time employment with the training partner of my choosing.

I understand that I must be eligible for employment according to the Department of Labor standards to particiapte in the pre-apprenticeship program.

Typing your FULL name in this box acts as your electronic signature to the above disclaimer. You understand that by signing, you are accepting all the terms listed.

*

Today's Date:

*

(mm/dd/yyyy)