AAMA JSCC Page Logo 2023

Alabama Advanced Manufacturing Apprenticeship Program

Participant Application

SECTION 1: PROFILE INFORMATION

Name(Required)
Race/Ethnicity(Required)
(Check all that apply.)
Gender(Required)
Do you have a disability (physical or mental impairment) that you acknowledge?(Required)
Are you a U.S. Citizen?(Required)
Are you eligible to work in the U. S.?(Required)
Military Status(Required)
(Jobs for Veterans Act applicable with priority status given to Veterans and eligible Veteran’s spouses.)

SECTION 2: CONTACT INFORMATION

Address(Required)
Emergency Contact Person Name

SECTION 3: EDUCATION INFORMATION

Secondary Educational Level Completed:(Required)
Highest grade completed:(Required)
Highest post-secondary educational level completed (check all that apply):(Required)
Are you currently enrolled in an apprenticeship program (registered or unregistered)?(Required)
Primary Language:(Required)

Reason for participating in training (check all that apply):(Required)

SECTION 4: EMPLOYMENT INFORMATION

Are you currently employed? (Paid)(Required)
Are you currently employed? (Unpaid)(Required)
Which of the following describes your employment status (check all that apply)?(Required)
Have you ever been arrested and/or convicted of a felony and/or misdemeanor that resulted in legal proceedings, criminal record and/or incarceration?(Required)
Check all that apply to you and/or your family (currently and/or in the last 6 months):

Certification

I certify that the statements on this application are true and complete to the best of my knowledge. I hereby waive my rights under FERPA and allow the release of the above information to the ALAMAP Project team. I understand that my information will be released to the US Department of Labor to report employment, wage, and other information needed to verify training progression, completion, and training outcomes under the ALAMAP Project, an Alabama Community College System initiative funded through a US DOL ETA Scaling Apprenticeship Through Sector-Based Strategies grant.

MM slash DD slash YYYY