Building a Future by Intheaters

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									Building a Future
Northeastern Pennsylvania Pre-Apprenticeship Program

The Building a Future Program is a pre-apprenticeship program that helps you get ready for a career in construction!
In the Program you will:  Discover different construction trade programs.  Visit Training Centers.  Learn the necessary skills you need to help you enter into an Apprenticeship Program  And much more If you are interested in this program fill out this application (front and back) and return it to your guidance office.
Please Print all Information Clearly Name: _______________________________________________________________________________ Address: ______________________________________________________________________________ City: ____________________________________State: _____________________Zip________________ Social Security # _________________________________________ Date of Birth: ____________________________________________Age: ________________________ Telephone# __________________________ Telephone# (2) _______________________________ Email Address ________________________________________________________________________ Are you a senior in High School? Yes_________________ No ___________________ Name of High School _____________________________________________________ Do you have a Driver’s License? Yes _________________ No ___________________ Do you have access to a car? Yes____________________ No ___________________ Do you currently have a job? Yes ___________________ No ___________________ If yes, how many hours do you work a week? _______________________________ Signature: ____________________________________ Date: ______________________________ If under 18, Parent or Guardian Signature: ___________________________________________ (Applicants selected will be subjected to random drug testing during the program) Applications must be submitted by the specified date. For more information contact Steve Armillay at 570-575-0514 or 570-820-9501

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Using the space below please answer one of the following questions:
1. I am interested in trades because…. 2. What are your career goals? 3. Why does the Pre-Apprenticeship program interest you? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
PAI App. Revised 01/09


								
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