APPRENTICESHIP TRADE

Trade Applying For
--- Choose a Trade ---Painting & DecoratingGlazing & Glass WorkDrywall Taping & FinishingIndustrial Painting

PERSONAL INFORMATION

Middle Name

Street Address

Address Line 2

ZIP Code

Date of Birth

EDUCATION & TRAINING

Highest School Year Completed
--- Select ---8910111213141516GEDHSED

Previous Related School

Previous Trade Employment, Including Military

Military Veteran?
--- Select ---YesNoNot Sure

WISCONSIN REGIONAL TRAINING PARTNERSHIP

Have you had any contact with WRTP/Big Step?
--- Select ---YesNo

VOLUNTARY DISABILITY DISCLOSURE

Disability Status
--- Select ---Yes - I have a disability or previously had oneNo - I do not have a disabilityI prefer not to answer

EEOC SUPPLEMENTAL INFORMATION

Race (select all that apply)
WhiteBlackAsianAmerican Indian or Alaskan NativeHawaiian/Pacific Islander

Ethnic Group
--- Select ---Not Hispanic or LatinoHispanic or Latino Origin

Gender
--- Select ---MaleFemale

CERTIFICATION

Security Question: What state is WGLFTI primarily based in? (hint: think cheese)

By submitting this application, I certify that all information provided is accurate and complete to the best of my knowledge.