601 37th Street South
Birmingham Al 35222
205-322-0729
info@cefalabama.org
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Apprenticeship Application

Important: Please fill out ALL required fields. Any inaccuracies on this form may be reflected on the Student’s transcripts and training records.
[ ] - indicates required information.
Craft Interested in:
 
  
PERSONAL information
Name 		 
Email Address
Home Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Date of Birth (MM/DD/YYYY)
Sex: Male   Female  
Race: White   Latino   Asian   African-American   American Indian   Other  
Do You Have Reliable Transportation? Yes   No
If under 21, name of parent or guardian
Emergency Contact Name
Emergency Contact Phone
 
PROFESSIONAL information
Currently Employed Yes   No
Name of Current or Recent Employer
Employer Address
Employer City
Employer State
Employer Zip Code
Employer Phone
Supervisor Name
Supervisor Phone
Responsibilities:
 
EDUCATIONAL information
Highest Education Level Completed		  
 
Diploma/GED recieved? Yes (date)   No
Name of School
Trade/Technical School? Yes   No
Completed? Yes (date)   No
Name of Trade School

 

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