General Application New application form 2-2024 Step 1 of 2 50% TradeSelect ONE Trade(Required) Drywall Finisher Glazier Painter Sign & Display Select ONE(Required) Apprentice Journeyperson Applicant InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail(Required) General InformationWill you agree to undergo a drug screen?(Required) Yes No Will you authorize a background check?(Required) Yes No Do you have valid identification?(Required) Yes No If YES, please attach a of your identificationMax. file size: 48 MB.This field is hidden when viewing the formDo you have a High School Diploma or GED?(Required) Yes No This field is hidden when viewing the formHigh School Name(Required)This field is hidden when viewing the formCity (High School)(Required)This field is hidden when viewing the formState (High School)(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificThis field is hidden when viewing the formDo you have a reliable vehicle to commute to work?(Required) Yes No Previous EmploymentCompany(Required)Years Employed(Required)Job Duties(Required)Job Title(Required)CompanyYears EmployedJob DutiesJob TitlePersonnel Record InformationEthnicity(Required) African American Caucasian Hispanic American Indian/Alaskan Native Asian or Pacific Islander Veteran(Required) Yes No Sex(Required) Male Female Disclaimer and SignatureSignature(Required)Date(Required) MM slash DD slash YYYY Your Right to Equal Opportunity It is against the law for an employer to discriminate against an applicant based on race, color, religion, national origin, sex, sexual orientation, age (40 years or older), genetic information, or disability. The employer must ensure equal opportunity with regard to all terms, conditions, and privileges associated with employment. If you think that you have been subjected to discrimination, you may file a complaint within 300 days from the date of the alleged discrimination or failure to follow the equal opportunity standards with The Department of Job & Family Services Ohio State Apprenticeship Council Attn: Complaint Officer P.O. Box 1618 Columbus, Ohio 43216-1618 (614) 644-0863 You may also be able to file complaints directly with the EEOC, or State fair employment practices agency, if those offices have jurisdiction over the sponsor/employer. Their contact information is listed below: Ohio Civil Rights Commission (OCRC) 1-888-278-7101 (614) 752-2391 (TTY) crc.ohio.gov U.S. Equal Employment Opportunity Commission 1-800-669-4000 1-800-669-6820 (TTY) www.eeoc.gov Complaints to the OCRC must be made within 6 months of the last act of discrimination/harassment Each complaint filed must be made in writing and include the following information: Complainant’s name, address and telephone number, or other means for contacting the complainant; The identity of the respondent (i.e. the name, address, and telephone number of the individual or entity that the complainant alleges is responsible for the discrimination); A short description of the events that the complainant believes were discriminatory, including but not limited to when the events took place, what occurred, and why the complainant believes the actions were discriminatory (for example, because of his/her race, color, religion, sex, sexual orientation, national origin, age (40 or older), genetic information, or disability); The complainant’s signature or the signature of the complainant’s authorized representative. The primary purpose of this form is to ensure the FTIOR Board of Trustees maintains records regarding the acceptance of minorities or other protected classes of individuals into the apprenticeship program in the event the FTIOR is required to reveal to the United States Department of Labor or to any State of Ohio agency such information. In addition, the FTIOR is also requesting other various information which will be used in the event of an emergency and which will be utilized for Pension, as well as, Health & Welfare insurance benefits purposes.Applicant's SignatureDate MM slash DD slash YYYY FINISHING TRADES INSTITUTE, OHIO REGION l EQUAL OPPORTUNITY PLEDGEThe Finishing Trades Institute of the Ohio Region will not discriminate against apprenticeship applicants or apprentices based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, genetic information, or because they are an individual with a disability or a person 40 years old or older. The Finishing Trades Institute of the Ohio Region will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30. NameThis field is for validation purposes and should be left unchanged.