Career Interest Form

Construction Career Interest Form

Completing this form does not guarantee your admittance into an apprentice program or employment. Be sure to click submit at the end to send your responses to the LCG team. All information you submit is confidential.

Step 1 of 6

Personal Information

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sex*

If other, please specify*

Are you a U.S. Citizen?*

Are you authorized to work in the U.S.?*

Are you an ex-offender?*

Referring agency name (If any)

Identification

Type of identification?*

If other, please specify*

Where was your identification issued?*

If other, please specify*

Current status of your driver's license*

ID/Driver's license expiry date*

If other, please specify*

If applicable, please explain why your driver's license is inactive*

Means of transportation*

If other, please specify*

Education

Do you have a High School Diploma or GED?*

If other, please specify*

Undergraduate or post graduate of a college?*

What degree(s) do you have?*

If other, please specify

Are you currently enrolled in a school or program?*

If other, please specify*

Are you a full-time student or a part-time student?*

If other, please specify*

Enter name of the school or program*

What is your expected completion/graduation date?*

Training and Experience

Have you worked in the trades before? (ie - summer work, family business, etc.)

Have you ever attended an apprentice preparation or construction training course*

Are you a trade school graduate?*

Please enter the name of the Trade school you attended

Please list the construction skills attained*

Do you currently belong to a union?*

Please list the local union name and number*

If yes, are you an apprentice level or journey level?*

What positions are you seeking?*

Work Experience

List the Company Name of your previous employer*

What was your previous job title?*

What were your job duties?*

What was the type of employment position?*

If other, please specify*

How many hours did you previously work per week?*

If other, please specify*

Authorization

Authorization: READ CAREFULLY*

Please note that if you do not wish to authorize the disclosure of your information to other employment agencies, Lowe Consulting Group, Inc. will not be able to refer you for employment.

Please check if you agree*

I authorize Lowe Consulting Group, Inc., and/or their consultants, to disclose or share my personal file information with pre-apprentice programs, agencies, community based organizations and individuals, as required, to provide services. I understand that the confidentiality of my records is protected under certain governmental guidelines and cannot be disclosed without my written consent unless provided for in the specific regulation governing the disclosure. I also understand that I may revoke this consent at any time by submitting written notice the agency.

Please check if you agree*

I certify that the information I have provided on this form is true and complete to the best of my knowledge.

Name

This field is for validation purposes and should be left unchanged.