HONOLULU JOINT APPRENTICESHIP and TRAINING COMMITTEE
FOR THE PLUMBING & PIPEFITTING INDUSTRY
PAMCAH-UA LOCAL 675 TRAINING FUND
TRAINING OFFICE: 720 Iwilei Road, Suite 222 * Honolulu, Hawaii 96817
Ph: (808) 456-0585 * Fax: (808) 456-7131
Apprenticeship Application
1
Applicant Info
>
2
Education
>
3
Work Experience
>
4
Acknowledgement
>
5
Review
>
6
Payment
Applicant Information
I hereby express interest in the following trade and submit the following information.
*
Fire Sprinkler Fitter
Pipefitter/Steamfitter Welders
Plumber
Refrigeration Air Conditioning
Second Choice
Fire Sprinkler Fitter
Pipefitter/Steamfitter Welders
Plumber
Refrigeration Air Conditioning
Name
Name
*
First
Last
Email
*
Phone (Home)
Phone (Home)
-
###
-
###
####
Phone (Cell)
Phone (Cell)
-
###
-
###
####
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Island
*
Oahu
Hawaii - Hilo
Hawaii - Kona
Kauai
Maui
Driver's License No
*
Driver's License Expiration Date
Driver's License Expiration Date
*
/
MM
/
DD
YYYY
Will you be 17 years of age as of 90 days from the application submission day?
*
Will you be 17 years of age as of 90 days from the application submission day?
Yes
No
Date of Birth
Date of Birth
*
/
MM
/
DD
YYYY
Have you previously applied with the Plumbers & Fitters Local 675 Apprenticeship Program?
*
Have you previously applied with the Plumbers & Fitters Local 675 Apprenticeship Program?
Yes
No
When did you apply with the Plumbers & Fitters Local 675 Apprenticeship Program?
*
Have you served in the military?
*
Have you served in the military?
Yes
No
Which branch did you serve in the military?
*
Army
Navy
Air Force
Marines
Coast Guard
Military Reserve
National Guard
How many months did you serve in the military?
*
Character of Service
*
Honorable Discharge
Bad Conduct Discharge
Dishonorable Discharge
Entry-Level Separation
Active Member
$
0
Total
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*
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