Application Form Please enable JavaScript in your browser to complete this form.Which Apprenticeship classification do you wish to enter? Apply no earlier than one year prior to estimated earliest start of terminal leave. *Inside Electrician- Open to active duty or Veterans up to 5 years separation to applicationOutside LIne Worker- Open to veterans not date restricted, and active duty on terminal leave.Please choose only one per applicationWhich cohort do you want to apply for? Inside Electrician Options include in person trainings- JBER Alaska Fall 2023, and San Diego Training Center 2023, a Hybrid in-person and online program in Los Angeles 2023, and there are also online self-paced computer mediated learning cohorts, one supported in San Bernardino CA and one supported from Washington state . *choose oneAnchorage, AK Cohort 6 Sept 5-Oct 20 2023Los Angeles, CA Cohort 3 July 10-Sept 8 2023Alaska 2023 will be 7 weeks of 40 hour per week day school, San Diego 2023 will be 7 weeks of 40 hour per week day school, Los Angeles 2023 = hybrid training 6 weeks online plus 3 weeks in person. Online only version is self paced, online, with instructors available and some required attendance. Skill Bridge attendees will need to get approvals. We are currently processing through our waitlist for online training. Your application will be dealt with in the order received. Applicant InformationFirst Name *Last Name * SuffixAddress Line 1 *Address Line 2City *State *Two letter abbreviationZip Code *5 character zip- triple check your address and ZipPhone *We may use text messages to contact you.Email *Email is our primary means of communication. Start checking your email and spam folder often. Are you a service member or veteran? *Yes- Active DutyYes-Veteran Separated in the last 5 yearsYes- Reserve or Guard under current contractNo- none of the aboveThis includes all branches, Army, Navy, Air Force, Marines, Coast Guard, Space Force- use the contact form if you feel you have a special request or circumstance and do not fit the above categories. Conditional on receipt of Member Form 4 DD-214 showing Character of Service as Honorable or General, under Honorable ConditionsRank *Please use standard abbreviation.You do not appear to qualify for VEEP. Would you like more information about why? *YesNoIn which branch of the Armed Forces do/did you serve? *Select Branch of Armed ForcesAir ForceArmyCoast GuardMarine CorpsNavySpace ForceExpected or actual Date of Separation *Apply no earlier than one year from estimated earliest start of terminal leave.Years of Service *Inside RequestsSee maps and locations for training centers at http://bit.ly/insideprograms, and local unions at https://bit.ly/3Tbm4aVRelocation Request- Inside WiremanIf selected for this program, we will attempt to secure an apprenticeship position for you in the location(s) of your choosing. Please indicate below one or more locations where you would like to relocate to after separation. First Choice-Inside *Must choose at least oneBirmingham, ALMobile, ALMontgomery, ALSheffield, ALAnchorage, AKFairbanks, AKGlobe, AZPhoenix, AZTucson, AZEl Dorado, ARFt. Smith, ARJonesboro, ARLittle Rock, ARBakersfield, CACastroville, CACommerce, CAFresno, CAMartinez, CAModesto, CANapa, CANorth Hollywood, CAOxnard, CASacramento, CASan Carlos, CASan Diego, CASan Francisco, CASan Jose, CASan Leandro, CASan Luis Obispo, CASanta Ana, CASanta Maria, CASanta Rosa, CAStockton, CAColorado Springs, CODenver, COGrand Junction, COPueblo, COHartford, CTMonroe, CTWallingford, CTNew Castle, DEGainesville, FLJacksonville, FLMiami, FLPensacola, FLPort Orange, FLTampa, FLWest Palm Beach, FLWinter Park, FLAlbany, GAAugusta, GAMacon , GANorcross, GASavannah, GAHonolulu, HIBoise, IDPocatello, IDAlsip, ILAlton, ILAurora, ILBartonville, ILBloomington, ILChampaign, ILCollinsville, ILCrystal Lake, ILDanville, ILDecatur, ILJoliet, ILLibertyville, ILMoline, ILRockford, ILSpringfield, ILWarrenville, ILWest Frankfort, ILEvansville, INFt. Wayne, INIndianapolis, INKokomo, INLafayette, INMerrillville, INMichigan City, INMuncie, INSouth Bend, INTerre Haute, INBurlington, IACedar Rapids, IADubuque, IAMarion, IASioux City, IAUrbandale, IAHutchinson, KSTopeka, KSWichita, KSLouisville, KYOwensboro, KYPaducah, KYAlexandria, LABaton Rouge, LABogalusa, LABossier City, LALake Charles, LAMetairie, LAMonroe, LAFairfield, MELewiston, MEBaltimore, MDCumberland, MDLanham, MDDorchester, MASpringfield, MATaunton, MAWorcester, MABattle Creek, MIBay City, MIChelsea, MICoopersville, MIFlint, MIGwinn, MIKalamazoo, MILansing, MISaginaw, MITraverse City, MIWarren, MIDuluth, MNFridley, MNRochester, MNSt. Michael, MNSt. Paul, MNByram, MSCorinth, MSGulfport, MSMeridian, MSJefferson City, MOJoplin, MOKansas City, MOSpringfield, MOSt. Joseph, MOSt. Louis, MOHelena, MTLincoln, NEOmaha, NELas Vegas, NVReno, NVConcord, NHFolsom, NJNorth Brunswick, NJParamus, NJParsippany, NJTrenton, NJWall, NJAlbuquerque, NMBinghamton, NYClay, NYElmira, NYFlushing, NYGeneva, NYHarriman, NYHauppauge, NYIthaca, NYJamestown, NYLatham, NYNiagara Falls, NYOrchard Park, NYRochester, NYWatertown, NYWhite Plains, NYAsheville, NCCharlotte, NCDurham, NCGreensboro, NCHampstead, NCFargo, NDAkron, OHCincinnati, OHColumbus, OHDayton, OHHamilton, OHLima, OHLorain, OHLucasville, OHMansfield, OHMassillon, OHMentor, OHNashport, OHReno, OHRossford, OHSteubenville, OHValley View, OHWarren, OHYoungstown, OHOklahoma City, OKPonca City, OKTulsa, OKCentral Point, ORNorth Bend, ORAllentown, PABeaver, PABoothwyn, PACollegeville, PAErie, PAHarrisburg, PAMontoursville, PANanticoke, PAPhiladelphia, PAPittsburgh, PAReading, PAShamokin, PASouth Abington Township, PAYork, PACranston, RIN. Charleston, SCBlountville, TNChattanooga, TNKnoxville, TNMartin, TNMemphis, TNNashville, TNOak Ridge, TNAmarillo, TXAustin, TXCorpus Christi, TXEl Paso, TXGrand Prairie, TXHouston, TXLongview, TXMcAllen, TXNash, TXNederland, TXSan Antonio, TXTexas City, TXWaco, TXWichita Falls, TXWest Jordan, UTS. Burlington, VTAshland, VAChesapeake, VANewport News, VAKennewick, WAMt. Vernon, WARenton, WASpokane, WATacoma, WACharleston, WVClarksburg, WVHuntington, WVParkersburg, WVWheeling, WVJanesville, WIMadison, WIWauwatosa, WICasper, WYSecond Choice- Inside *Select LocationBirmingham, ALMobile, ALMontgomery, ALSheffield, ALAnchorage, AKFairbanks, AKGlobe, AZPhoenix, AZTucson, AZEl Dorado, ARFt. Smith, ARJonesboro, ARLittle Rock, ARBakersfield, CACastroville, CACommerce, CAFresno, CAMartinez, CAModesto, CANapa, CANorth Hollywood, CAOxnard, CARiverside, CASacramento, CASan Bernardino, CASan Carlos, CASan Diego, CASan Francisco, CASan Jose, CASan Leandro, CASan Luis Obispo, CASanta Ana, CASanta Maria, CASanta Rosa, CAStockton, CAColorado Springs, CODenver, COGrand Junction, COPueblo, COHartford, CTMonroe, CTWallingford, CTNew Castle, DEGainesville, FLJacksonville, FLMiami, FLPensacola, FLPort Orange, FLTampa, FLWest Palm Beach, FLWinter Park, FLAlbany, GAAugusta, GAMacon , GANorcross, GASavannah, GAHonolulu, HIBoise, IDPocatello, IDAlsip, ILAlton, ILAurora, ILBartonville, ILBloomington, ILChampaign, ILCollinsville, ILCrystal Lake, ILDanville, ILDecatur, ILJoliet, ILLibertyville, ILMoline, ILRockford, ILSpringfield, ILWarrenville, ILWest Frankfort, ILEvansville, INFt. Wayne, INIndianapolis, INKokomo, INLafayette, INMerrillville, INMichigan City, INMuncie, INSouth Bend, INTerre Haute, INBurlington, IACedar Rapids, IADubuque, IAMarion, IASioux City, IAUrbandale, IAHutchinson, KSTopeka, KSWichita, KSLouisville, KYOwensboro, KYPaducah, KYAlexandria, LABaton Rouge, LABogalusa, LABossier City, LALake Charles, LAMetairie, LAMonroe, LAFairfield, MELewiston, MEBaltimore, MDCumberland, MDLanham, MDDorchester, MASpringfield, MATaunton, MAWorcester, MABattle Creek, MIBay City, MIChelsea, MICoopersville, MIFlint, MIGwinn, MIKalamazoo, MILansing, MISaginaw, MITraverse City, MIWarren, MIDuluth, MNFridley, MNRochester, MNSt. Michael, MNSt. Paul, MNByram, MSCorinth, MSGulfport, MSMeridian, MSJefferson City, MOJoplin, MOKansas City, MOSpringfield, MOSt. Joseph, MOSt. Louis, MOHelena, MTLincoln, NEOmaha, NELas Vegas, NVReno, NVConcord, NHFolsom, NJNorth Brunswick, NJParamus, NJParsippany, NJTrenton, NJWall, NJAlbuquerque, NMBinghamton, NYClay, NYElmira, NYFlushing, NYGeneva, NYHarriman, NYHauppauge, NYIthaca, NYJamestown, NYLatham, NYNiagara Falls, NYOrchard Park, NYRochester, NYWatertown, NYWhite Plains, NYAsheville, NCCharlotte, NCDurham, NCGreensboro, NCHampstead, NCFargo, NDAkron, OHCincinnati, OHColumbus, OHDayton, OHHamilton, OHLima, OHLorain, OHLucasville, OHMansfield, OHMassillon, OHMentor, OHNashport, OHReno, OHRossford, OHSteubenville, OHValley View, OHWarren, OHYoungstown, OHOklahoma City, OKPonca City, OKAllentown, PACentral Point, ORNorth Bend, ORBeaver, PABoothwyn, PACollegeville, PAErie, PAHarrisburg, PAMontoursville, PANanticoke, PAPhiladelphia, PAPittsburgh, PAReading, PAShamokin, PASouth Abington Township, PAYork, PACranston, RIN. Charleston, SCBlountville, TNChattanooga, TNKnoxville, TNMartin, TNMemphis, TNNashville, TNOak Ridge, TNAmarillo, TXAustin, TXCorpus Christi, TXEl Paso, TXGrand Prairie, TXHouston, TXLongview, TXMcAllen, TXNash, TXNederland, TXSan Antonio, TXTexas City, TXWaco, TXWichita Falls, TXWest Jordan, UTS. Burlington, VTAshland, VAChesapeake, VANewport News, VAKennewick, WAMt. Vernon, WARenton, WASpokane, WATacoma, WACharleston, WVClarksburg, WVHuntington, WVParkersburg, WVWheeling, WVJanesville, WIMadison, WIWauwatosa, WICasper, WYThird Choice- Inside *Select LocationBirmingham, ALMobile, ALMontgomery, ALSheffield, ALAnchorage, AKFairbanks, AKGlobe, AZPhoenix, AZTucson, AZEl Dorado, ARFt. Smith, ARJonesboro, ARLittle Rock, ARBakersfield, CACastroville, CACommerce, CAFresno, CAMartinez, CAModesto, CANapa, CANorth Hollywood, CAOxnard, CARiverside, CASacramento, CASan Bernardino, CASan Carlos, CASan Diego, CASan Francisco, CASan Jose, CASan Leandro, CASan Luis Obispo, CASanta Ana, CASanta Maria, CASanta Rosa, CAStockton, CAColorado Springs, CODenver, COGrand Junction, COPueblo, COHartford, CTMonroe, CTWallingford, CTNew Castle, DEGainesville, FLJacksonville, FLMiami, FLPensacola, FLPort Orange, FLTampa, FLWest Palm Beach, FLWinter Park, FLAlbany, GAAugusta, GAMacon , GANorcross, GASavannah, GAHonolulu, HIBoise, IDPocatello, IDAlsip, ILAlton, ILAurora, ILBartonville, ILBloomington, ILChampaign, ILCollinsville, ILCrystal Lake, ILDanville, ILDecatur, ILJoliet, ILLibertyville, ILMoline, ILRockford, ILSpringfield, ILWarrenville, ILWest Frankfort, ILEvansville, INFt. Wayne, INIndianapolis, INKokomo, INLafayette, INMerrillville, INMichigan City, INMuncie, INSouth Bend, INTerre Haute, INBurlington, IACedar Rapids, IADubuque, IAMarion, IASioux City, IAUrbandale, IAHutchinson, KSTopeka, KSWichita, KSLouisville, KYOwensboro, KYPaducah, KYAlexandria, LABaton Rouge, LABogalusa, LABossier City, LALake Charles, LAMetairie, LAMonroe, LAFairfield, MELewiston, MEBaltimore, MDCumberland, MDLanham, MDDorchester, MASpringfield, MATaunton, MAWorcester, MABattle Creek, MIBay City, MIChelsea, MICoopersville, MIFlint, MIGwinn, MIKalamazoo, MILansing, MISaginaw, MITraverse City, MIWarren, MIDuluth, MNFridley, MNRochester, MNSt. Michael, MNSt. Paul, MNByram, MSCorinth, MSGulfport, MSMeridian, MSJefferson City, MOJoplin, MOKansas City, MOSpringfield, MOSt. Joseph, MOSt. Louis, MOHelena, MTLincoln, NEOmaha, NELas Vegas, NVReno, NVConcord, NHFolsom, NJNorth Brunswick, NJParamus, NJParsippany, NJTrenton, NJWall, NJAlbuquerque, NMBinghamton, NYClay, NYElmira, NYFlushing, NYGeneva, NYHarriman, NYHauppauge, NYIthaca, NYJamestown, NYLatham, NYNiagara Falls, NYOrchard Park, NYRochester, NYWatertown, NYWhite Plains, NYAsheville, NCCharlotte, NCDurham, NCGreensboro, NCHampstead, NCFargo, NDAkron, OHCincinnati, OHColumbus, OHDayton, OHHamilton, OHLima, OHLorain, OHLucasville, OHMansfield, OHMassillon, OHMentor, OHNashport, OHReno, OHRossford, OHSteubenville, OHValley View, OHWarren, OHYoungstown, OHOklahoma City, OKPonca City, OKTulsa, OKCentral Point, ORNorth Bend, ORAllentown, PABeaver, PABoothwyn, PACollegeville, PAErie, PAHarrisburg, PAMontoursville, PANanticoke, PAPhiladelphia, PAPittsburgh, PAReading, PAShamokin, PASouth Abington Township, PAYork, PACranston, RIN. Charleston, SCBlountville, TNChattanooga, TNKnoxville, TNMartin, TNMemphis, TNNashville, TNOak Ridge, TNAmarillo, TXAustin, TXCorpus Christi, TXEl Paso, TXGrand Prairie, TXHouston, TXLongview, TXMcAllen, TXNash, TXNederland, TXSan Antonio, TXTexas City, TXWaco, TXWichita Falls, TXWest Jordan, UTS. Burlington, VTAshland, VAChesapeake, VANewport News, VAKennewick, WAMt. Vernon, WARenton, WASpokane, WATacoma, WACharleston, WVClarksburg, WVHuntington, WVParkersburg, WVWheeling, WVJanesville, WIMadison, WIWauwatosa, WICasper, WYOutside Line requestssee maps and locations at http://bit.ly/lineprogramsRelocation Request- Outside LineIf selected for this program, we will attempt to secure an apprenticeship position for you in the location(s) of your choosing. Please indicate below one or more locations where you would like to relocate to after separation. Outside Choice 1 *Must choose at least oneOutside-AJEATTOutside-ALBATOutside-CAL/NEVOutside-MOVALLEYOutside-MSLCATOutside-NEATOutside-NW LINEOutside-SELCATOutside- SWLCATOutside Choice 2 *Select LocationOutside-AJEATTOutside-ALBATOutside-CAL/NEVOutside-MOVALLEYOutside-MSLCATOutside-NEATOutside-NW LINEOutside-SELCATOutside- SWLCATOutside Choice 3 *Select LocationOutside-AJEATTOutside-ALBATOutside-CAL/NEVOutside-MOVALLEYOutside-MSLCATOutside-NEATOutside-NW LINEOutside-SELCATOutside- SWLCATIf there are no apprenticeship opportunities currently in the location(s) of your choosing, would you be open to considering alternate locations? *YesNoAny additional comments?EducationHigh School *City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNon USA LocationHave you obtained a Diploma or GED? *YesNoCollege NameCityStateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNon- USA LocationDegree EarnedOther Applicable Training or CertificatesOptional field if you would like to list training or certifications you feel are applicable to the programHow did you hear about us?When Choosing Inside Wireman Alaska Cohort Please Fill Out the A.W.P. H2H Registration *I have or will fill out the AWP H2H registrationI need help filling out the AWP H2H registration formGo to the Alaska Works Partnership Helmets 2 Hardhats registration form and fill it out at https://ConstructionAcademy.formstack.com/forms/akh2hregistrationI understand that most programs across the country will have substance abuse screening programs that test for and do not allow cannabis use, regardless of the legality of use according to state law. *I understand and acknowledge this factI understand that this program is contingent upon VEEP receipt of a DD-214 showing condition of service as either Honorable or General, Under Honorable ConditionsMy DD-214 is available and meets requirementsMy DD-214 will be available after transition and will meet requirementsI have questions about this topicBy hitting submit, you are electronically signing to certify that your answers are true and complete to the best of your knowledge.CommentSubmit
