BUILD A BETTER FUTURE

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SPRINKLER FITTER APPRENTICESHIP PROGRAM BUILD A BETTER FUTURE What is an Apprenticeship Program? Earn while you learn! Work with an experienced trade professional to learn a valuable trade while earning a good wage. Complete industry-certified training coursework. Receive pay increases as you gain more knowledge and skills. Work anywhere. Upon completion of the 4 year program you will receive a nationally recognized certificate as a journey-level sprinkler fitter. How Much Can I Earn? Earn $14.04 per hour to start. Advance to $28.08 per hour that s about $58, 406 per year within 4 years. Experienced sprinkler fitter professionals can make upwards of $70,000 per year. How Do I Get Started? You must meet these minimum qualifications: 1. Must be at least 18 years of age 2. Have a high school diploma or GED certificate Note: Employers may require a pre-employment substance abuse test and a valid drivers license. How Do I Apply? Applications are available on-line at www.abcpnw.org or by email jhead@abcpnw.org Mail completed applications with all required documentation to ABC, 2201 NE Columbia Blvd, Ste. 1C, Portland, OR 97211 For more information visit www.abcpnw.org or contact Associated Builders and Contractors at 503.598.0522 ATTENTION VETERANS: PROGRAM QUALIFIES FOR EDUCATIONAL BENEFITS MINORITIES AND WOMEN ENCOURAGED TO APPLY What Do Sprinkler Fitter Professionals Do? Build, install and maintain wet and dry pipe fire suppression systems Work with precision tools to measure, cut and install piping Connect piping systems to water mains, supply tanks and control equipment Weld pipes Test systems for leaks using air or liquid pressure equipment Service & repair sprinkler systems Prepare cost estimates Read and interpret work specifications & fire codes DATE OF NOTICE: April 4, 2016 This is a public notice from the OR SW WA Sprinkler Fitter JATC, MA #1077, a registered training program with the Oregon Bureau of Labor & Industries. Employers are located in the counties of Benton, Clackamas, Clatsop, Columbia, Deschutes, Douglas, Jackson, Josephine, Hood River, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Wasco, Washington, Yamhill in the State of Oregon.

HOW DO I GET STARTED? NEXT STEP Complete Application and Registration Agreement. Applications are available at the ABC office, 2201 NE Columbia Blvd, Ste 1C, Portland, OR 97211. Applicants must meet minimum requirements at the time of application. Must be at least 18 years of age Have a high school diploma or GED 3. All additional documentation must be submitted with application 4. Completed applications will be reviewed and scored according to the additional documentation listed below. EDUCATIONAL EXPERIENCE: HIGH SCHOOL COLLEGE MILITARY TRADE SCHOOL WORK EXPERIENCE: PAY STUBS AND W2S DON T COUNT FOR POINTS VALID DRIVER S LICENSE CPR CERTIFICATION TRANSCRIPTS, COURSE CERTIFICATES, AND/OR COLLEGE DEGREES COMPANY LETTERHEAD AND/ OR DD214 PHOTO COPY RESUMES DON T COUNT FOR POINTS IN WORK OR EDUCATIONAL EXPERIENCE FOR MORE DETAILED INFORMATION ON THE POINT SYSTEM VISIT WWW.ABCPNW.ORG 5. Applicants meeting minimum qualifications are reviewed, scored and ranked based on the applicant s documentation. 6. The Sprinkler Fitter JATC meets four times a year (February, May, August & November) to approve any new applicants to the Pool of Eligibles. 7. Applicants will be notified by mail of their rank on the Pool of Eligibles. The ranking of applicants on the Pool of Eligibles changes when new applicants are added to the list and all applicants are re-ranked according to their total score. All applicants are then sent an updated letter is sent informing them of their new rank. Qualified applicants remain on the Pool of Eligibles for up to two years. It is important to note than an applicant can increase their application score while in the Pool of Eligibles which will help them move up in rank. One of the most common ways to increase an application score is by submitting documentation of additional classes and/or work experience and a new registration agreement. You must notify the apprenticeship office of any changes to your address or phone numbers. You may be removed from the pool if you do not keep your contact information current. Applicants at the top of the Pool of Eligibles qualify to move into the Ready for Employment Pool, which consists of three applicants. Sprinkler Fitter training agents interested in KEYS TO SUCCESS Maintain a good driving record and a drug-free lifestyle. Possess a valid driver s license and have access to reliable transportation with liability insurance. Be physically capable of climbing and standing on a ladder for long periods of time and able to lift and/or move up to 50 lbs. consistent with trade practice. Demonstrate a good work ethic by arriving at work on time and completing an honest days work. Follow the instructions of your supervisor and work

OREGON/SW-WASHINGTON SPRINKLER FITTERS JATC APPRENTICESHIP APPLICATION This form must be completed in its entirety by the applicant Please Print All Information Log #SPK Application Overall Score Committee Use Completion Date Score APPLICANT S INFORMATION: PROGRAM INTEREST Last Name First MI 7. How did you learn about this program? [Check All That Apply] Mailing Address Radio/TV From Someone In The Trade City State Zip Phone (Area Code & Number) Alternate Phone Number EMAIL (print legibly) 8. Newspaper Through an Apprenticeship Program Job Placement School Counselor Word-Of-Mouth Other: List some reasons why you are applying for this apprenticeship program: EDUCATION You Must Supply All Transcripts As Required 1. Are you a High School graduate? 9. Are you familiar with how an apprenticeship program works? 1a. If no, do you have a GED? 2. Circle to indicate years of formal 10. Give a brief description of the kind of work you think is education you have completed. involved with this trade Less than 10 10 11 12 13 14 15 16 17 18 More than 18 3. List degree you have earned: 4.. Did you ever participate in any kind of vocational technical training during or after high school? 5a. If yes, how long was the program? Months ABILITY 11. Are you physically and mentally able to safely perform or learn to safely perform the work of this trade, either with or without reasonable accommodations? 12. Are you able to get to and from work at various job sites anywhere within the geographical area that this apprenticeship program covers? 5b. Describe the program: 13. Are you able and willing to attend all related classroom training as required to complete your apprenticeship? 5c. Did you complete the program 5.. Did you ever participate in any kind of school-to-work (co-op education) program when you were in school? 6a. If yes, describe the program: 6b. Did you obtain full time employment (placement) In a related field upon completion of the program? 14. Are you able to climb and work from ladders, scaffolds, poles or towers of various lengths and heights? 15. Can you crawl and work in confined spaces such as attics, manholes and crawl spaces? 16. Are you able to read and understand English? 17. Are you able to hear and understand verbal Instructions and warnings given in English? 18. Can you communicate verbally in English & be understood easily? WOMEN AND MINORITES ARE ENGOURAGED TO APPLY Veterans who qualify for GI Educational Benefits may use them in this program.

BACKGROUND WORK HISTORY 19. Have you served in the US military 27. Do you have a valid Driver s License? 19a. If yes, how long? Months 28. Do you have any traffic violations? 29a. If yes, please explain 19b.What branch? 19c. Did you complete military school? 29. Are you presently employed? 30a. If yes, do you request that we not contact your present employer? 30b. If yes, are they a training agent in our program? 30. Did you have any part-time or summer jobs while attending school? 20. Do you have Sprinkler Fitter work. experience? 21. Do you have experience in any kind of construction work? 22. Do you have experience in any. Sprinkler Fitter related field? PRESENT EMPLOYER 23. Have you applied with this apprenticeship 1. Employer:. program before? Supervisor Name: 24a. If yes, how many times? Phone Number: 24b. If yes, what year(s)? Job Title: 24. Have you ever applied for apprenticeship in Describe Work Performed :. any other trade or occupation? 25. Have you participated in an apprenticeship From: To: of any kind? 26a. If yes, in what? PAST EMPLOYER 26b. If so what was your reason for leaving the program? 2. Employers: Supervisor Name: 26. Are you currently serving an apprenticeship? 27a. If yes, list the employer or apprenticeship sponsor: Phone Number: Job Title: Describe Work Performed : Reason for Leaving: From: INITIAL STATEMENT INITIAL STATEMENT I am aware that it is my responsibility to keep this program informed of any change in my address or phone number. I have read and understand the basic qualifications for entry into the program. I understand that I must furnish documentation to provide evidence that I do meet the qualifications required for entry into the pool of eligible candidates for this apprenticeship. WOMEN AND MINORITES ARE ENGOURAGED TO APPLY Veterans who qualify for GI Educational Benefits may use them in this program. To: I understand that any intentional false statement or information I have provided on this application form or on other documents shall be cause for termination of registration should I be selected for the program. I understand that my application will expire after 2 years removing me from the pool of eligibles and I will have to reapply at the next opening I understand that if I fail to submit ALL of the required information within the specified time frame, my application may be considered incomplete. I have been given specific instructions as to what is required of me to complete this application. If accepted into the apprentice program, I agree to attend school on my own time, pursue the prescribed course of study related to the trade and comply with the written standards for apprenticeship. I understand all the above and state that to the best of my knowledge all information provided on this form is true and accurate.. I agree that any false statements made by me in this application shall constitute grounds for disqualification of my selection or grounds for my discharge if false information is discovered after being selected for apprenticeship program..print Name: Signature: Date:

Oregon Bureau of Labor and Industries Log #SPK Apprenticeship and Training Division Exception # APPRENTICESHIP REGISTRATION AGREEMENT MA #1077 COMPLETE ALL SECTIONS SOC Code 47-2152 NOTICE: The Apprenticeship and Training Council requires apprentices to provide their social security number (SSN) for purposes of identification only. Refusal to disclose the SSN may result in the denial of rights, benefits and privileges. [5 USC 552a, ORS 660.060(8) and OAR 839-11-088(1)(b)(1)] Symbol/Suffix 0414/000 Agreement # COMMITTEE NAME: OR & SW-Washington Sprinkler Fitters JATC OCCUPATION as listed in Standards: Sprinkler Fitter/Pipe Fitter Applicant s Last Name First MI Social Security Number Mailing Address Phone Area Code & Number City State ZIP County This information is requested to ensure equal employment opportunity and compliance. GENDER RACE/ETHNICITY BIRTH DATE VET STATUS Male Female WH BL AI AS HI VET RES NON Military Service Discharge Date Length of Service Circle highest grade completed in each category. EDUCATION High School Diploma Trade School College Diploma GED 9 10 11 12 Yes No 1 2 3 4 1 2 3 4 Yes No Yes No PERFORMANCE REPORTING INFORMATION SYSTEM (PRISM) CONSENT TO DISCLOSE SOCIAL SECURITY NUMBER FOR USE IN THE PERFORMANCE REPORTING INFORMATION SYSTEM (PRISM) ORS 657.734 and OAR 839-11-0088(1)(b)(2) authorizes the Bureau of Labor and Industries Apprenticeship and Training Division to allow you to voluntarily participate in PRISM. Failure to participate will not be used as a basis to deny you any right, benefit or privilege provided by law. If you consent to participate in PRISM, your social security number will only be used only in the following manner. The Performance Reporting Information System will collect client and workforce related information from the participating agencies (including this agency), analyze that information and provide the participating agencies and other state agencies and officials with statistical data, including education, training and other services provided to clients and the resulting client outcomes, in order to aid the agencies program planning for providing services to Oregon s citizens. PRISM I will release only aggregate statistical information, without any personal identifiers, such as name or social security number. Furthermore, the data produced by PRISM will not be used by any participating agency, or any other state agency or official, to make any decision or take any action directly affecting any individual, including you. YES, NO, I consent to disclose my social security number and related records for use in PRISM as described above. I DO NOT consent to disclose my social security number and related records for use in PRISM as described above. Signature Date Portland Eugene Medford Bend 800 NE Oregon #1045 1400 Executive Pkwy #200 119 N Oakdale Av 1645 NE Forbes RD Ste106 971-673-0760 97232-2180 541-686-7654 97401-7103 541-776-6201 97501-2629 541-322-2435 97701-6833 OREGON STATE APPRENTICESHIP AND TRAINING COUNCIL REGISTRATION AGREEMENT

Apprentice Name Agreement Number OR & SW-Washington Sprinkler Fitters JATC Committee Name 2201 NE Columbia Blvd Ste. 1C, Portland, OR 97211 Committee Address This Agreement Revokes and Supersedes Any and All Previous Agreements and Is Subject to the Terms and Provisions Below THE EMPLOYER, or the Employer s Agent, and the apprentice agree to be bound by any changes, modifications, deletions or amendments to the apprenticeship standards duly promulgated by the Oregon State Apprenticeship and Training Council. THE EMPLOYER, or Employer Agent, agrees to employ and diligently and faithfully train the apprentice, in accordance with the terms and conditions of the Apprenticeship Agreement and Apprenticeship Standards. The Employer, or Employer s Agent, certifies that they have such an apprentice job in their establishment and, except for practical eventualities preventing the same, will appoint the apprentice to journeyman upon satisfactory completion of training. THE APPRENTICE agrees to perform the work of the trade or craft diligently and faithfully during the period of training, in accordance with the terms and conditions of the Apprenticeship Agreement, the Apprenticeship Standards and the rules and policies of the local committee. THIS AGREEMENT must be registered by the State Apprenticeship and Training Council and after the probationary period, the State Apprenticeship and Training Council or the State Director of Apprenticeship and Training, under a procedure approved by the Council, may terminate the Apprenticeship Agreement. There is a probationary period during which the apprenticeship agreement may be terminated by either party upon written notice to the Apprenticeship Division, Bureau of Labor and Industries. If the employer is unable to fulfill the obligations under this agreement, the appropriate local committee may transfer this obligation to another appropriate employer, or to the local union of the trade, or to the local committee itself. THE SERVICE of the Council and the Director may be used as a condition precedent to the right to sue in a court of proper jurisdiction regarding the settlement of differences arising out of the agreement where such differences cannot be adjusted locally, or in accordance with established industrial procedure, or in accordance with provisions of an applicable labor contract, Oregon Revised Statute 660.060. WITNESSETH, that the Employer or Employer s Agent, the above apprentice, and the parent or guardian if a minor, hereby enter into the period of training in conformity with the Apprenticeship Standards for the named occupation which have been approved and registered by the State Apprenticeship and Training Council, and such standards, and any amendments thereto made during the period hereof, are hereby made a part of this agreement, with the same force and effect as though written herein, a copy of which shall be attached to the agreement. The apprentice authorizes the release of school records to the apprenticeship committee while in the apprenticeship program. The apprentice is rated as starting the RECORD OF COMMITTEE ACTION period of apprenticeship on (date) Term of Apprenticeship 8000 hours with a probationary period of 1000 hours Credit for Prior Experience Required annual related training 144 hours Average Journey Wage SIGNATURES Committee Chair, Secretary or Authorized Representative Committee ACTION Date Trade Representative Committee ACTION Date Apprentice Date Parent/Guardian (if apprentice is under the age of 18) Rev: 3/1/10 Date Registered by the Oregon State Apprenticeship and Training Council