Apprentice Request Form

Please complete the following information.  All requested information is needed to complete the referral.  

Apprentices will continue to be referred to other contractors until we receive the Manpower Acceptance Form indicating they have been hired by your company. 

 NEW apprentices must complete orientation in the IEC office BEFORE beginning work.

Request Date:

-- mm/dd/yy

Start Date :

-- mm/dd/yy

Start Time:

-- hh:mm:ss am/pm

Please provide the following contact information for the person the referred apprentice is to contact:

First Name
Last Name
Organization
Work Phone

Job Location

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Job County:


Number of apprentices requested:


Level of Apprentice Requested:

1 (Typically 1st Year)        2 (Typically 1st Year)        3 (Typically 2nd Year)        4 (Typically 2nd - 3rd Year)
5 (Typically 3rd-4th Year)    6 (Typically 4th Year)

Company Name:

Name

Comments?:


Copyright © 2006 IEC of Washington. All rights reserved.
Revised: November 2, 2006