AWP Application FY23

Training Application

If any of the following acronyms are in the title of a training, only apply if you are eligible:

(WIT) Women in the Trades – these classes are specifically for females only, 18 and older.

(H2H) Helmets to Hardhats – these classes are specifically for Veterans, Transitioning Service Members, Guard and Reserves and Active Duty Spouses only.

If a listed training does not have WIT or H2H in front of the title, 16 and older are eligible to apply but some trainings require you to be 18.

If you are a previous student and would like to apply for our short courses please click here.

What program is this CLASS application for?

ACA MCA FCA WIT H2H WIOA DW

Case Manager

Jason Wall Gena Bolton Derek Homme Joanna Jardin Mark Nusbaum Tiffany Caudle Taylor Downs

Total Score (Interview + Application Combined Score)

Interview Score (Total additional 20 based on phone or in person interview)

Application Score (Total 80)

Eligibility Team Notes

Eligibility Confirmed AKCA AWAY Eligible Dislocated Worker Eligible H2H Eligible STEP Eligible (females only) WIOA Youth Eligible

Grant Eligibility Yes = 10 , No = 0

Packet they need to fill out

AWAY DW Step WIOA NONE REPEAT - Already have everything

Support Services

Contacted Left Message No Response NO Assistance Needed Assisting

Support Services - Eligibility Team - Notes

Paperwork & Documents

Copy of Photo ID Copy of Social Security Card, Birth Certificate OR Passport Completed Grant Packet Resume

Other:

Case Manager Notes

Preferred Training Location*

Anchorage (including Chugiak) Fairbanks Mat-Su (Wasilla & Palmer)

LABORERS FIELD CHALLENGE:

*This training has additional requirements; in order to participate in the Laborers field challenge, you will also need to apply to the Laborers apprenticeship program. Make sure to do so at www.aklts.org/apprenticeship-application. If you register for the field challenge, your form and information will be shared with Alaska Laborers Training School. If you have any questions about Laborers Apprenticeship, please visit www.aklts.org and call the school at 907-345-3853 if you have any follow-up questions.

REQUIRED DOCUMENTS for all Heavy Equipment Operators/Mechanic Classes

The following documents are required along with this application; priority for selection will be given to those who have turned in everything before selections are made.

1. Copy of birth certificate.

2. Copy of high school diploma or GED certificate.

3. High school transcripts or GED scores.

4. Copy of social security card.

5. Copy of DD214 (Veterans only).

6. Copy of valid driver’s license (must be Alaska driver’s license by start of training).

7. Copies of score reports from Work Keys tests: Graphic Literacy, Applied Mathematics, and

Workplace Documents with a score of 4 or higher on each test. Check for the nearest Works Keys office: http://jobs.state.ak.us/offices/index.html (if job centers are open).

8.Optional/Recommended: resume, trade school certificates, college transcripts, letters of recommendation, etc.

Name*

First Name

Last Name

Cell Phone*

Alternate/Emergency Phone #*

E-mail address*

Verify e-mail address *

Social Security Number*

Gender*

M F

Race*

Hispanic/Latino Caucasian Asian African American American Indian Alaska Native Hawaiian/Pacific Islander

Alaska Native - Region*

Alutiiq Athabascan Cup'ik Inupiaq Southeast (Tlinggit, Tsimshian, Haida) Unangax (Aleut) Yup'ik

Other:

Please type in your tribe name.*

Date of Birth*

Age Range:*

Do you have parental/legal guardian's permission to attend this training?*

Yes No

Are you a parent to any children?*

Yes No

Do you currently live with an adult family member?*

Yes No

Physical Address *

Address Line 1

Address Line 2

City

State

ZIP Code

Mailing address (if different from physical address)

Address Line 1

Address Line 2

City

State

ZIP Code

Do you have a High School Diploma or GED?*

Yes No

Diploma / GED Yes = 5 , No = 0

Which High School do you attend?*

What was the last grade you completed?*

What date DID or WILL you graduate?*

Have you ever attended the Alaska Military Youth Academy program?*

Yes No

Drivers License or Photo ID #*

Do you have a valid ALASKA Drivers license?*

Yes No

AK Drivers License OR in the Military Yes = 10 , No = 0

If no AK driver's license, do you have a valid Driver's license in another state?*

Yes No

If no AK driver's license, are you currently eligible to obtain one?*

Yes No

I am currently or have served in the U.S. Military.*

Yes No

Select which military branch you were/are a part of.*

Reserves Air Force Air National Guard Army Coast Guard Marine Corps Navy Space Force

Are you the spouse of an active duty military member?*

Yes No

Note: If you answer yes you must become a current member of Alaska's Helmets to Hardhats once you complete this application. You can go to www.alaskah2h.org to register, this is a separate form in addition to this application.*

Current - I registered after July 2014 I am not current but will register today

I am in transition.*

Yes No

Terminal leave start date?*

Transition date? (Last Day officially in the military.)*

I am a Veteran.*

Yes No

I am a veteran separated _________.*

less than 180 days. more than 180 days.

Veteran Status (Please check all that apply)*

Disabled Veteran Homeless Veteran Enrolled in Homeless Veterans Reintegration Program Received Services from Veterans Vocational Rehab (Chapter 31) None

Did you serve more than 1 tour of duty?*

Yes No

First Active Duty Start Date?*

First Active Duty End Date?*

Second Active Duty Start Date?*

Second Active Duty End Date?*

Have you lived in Alaska for thirty days or more?*

Yes No

Do you intend to stay in Alaska and make it your home?*

Yes No

Staying in Alaska Yes = 5 , No = 0

Selective Service *

Yes - registered male No Exempt - includes females

Citizen Status*

United States Citizen Permanent Resident Alien Refugee or Parolee Temporary Work Permit Other

Are you currently in a registered apprenticeship?*

Yes No

Have you applied to an apprenticeship program?*

Yes No

Which Apprenticeship have you applied to?*

Which apprenticeship are you in?*

What year of apprenticeship are you in?*

1st Year 2nd Year 3rd Year 4th Year 5th Year

Employment: You are currently:*

Employed Not Employed Underemployed, Part-Time (not having enough paid work or not doing work that makes full use of your skills and abilities.)

Are you currently actively looking for work?*

Yes No

Name of Last EMPLOYER?*

Have you had a job in the last 5 years?*

Yes No

Reason for unemployment?*

You experienced a loss of employment due to the Covid-19 mandates Layoff or Termination (due to lack of work, job was completed, downsizing, company closures, etc.) Fired (discharged for cause) Home Maker (stay at home spouse/parent) Self Employed (no longer Self Employed)

Other:

Which Industry did you previously work in?*

Hospitality Medical Restaurant/Bar Retail Tourism Transportation

Other:

Last Date you were employed? (Date of dislocation.)*

How long have you been unemployed?*

1 - 3 months 4 - 6 months 6 months - 1 year over a year

Name of your employer?*

Do you need this training to keep your current employment?*

Yes No

What is your current / most recent job title?*

Pre-training hourly wage (Hourly wage at your current or most recent job)*

Did you make less then $7,500.- in the last 6 months?*

Yes No

You do not have to give details but if any of the following apply to you please click YES in the box below. (This will not affect our selection process and may allow you to receive additional assistance.)

The ADA defines a physical impairment as a physiological disorder or condition, anatomical loss, or cosmetic disfigurement that impacts one or more of these body systems:

Neurological ● Genitourinary ● Skin
Special-sense Organs ● Endocrine ● Hemic and Lymphatic
Musculoskeletal ● Reproductive ● Respiratory
Digestive ● Cardiovascular ● Muscular Dystrophy
Heart Disease ● HIV ● Drug Addiction
Cerebral Palsy ● Epilepsy ● Mental Retardation
Visual Impairments ● Diabetes ● Specific Learning
Orthopedic, speech, and hearing impairments ● Specific Learning Disabilities

Under the ADA, an impairment needs to be a physiological or mental disorder. Depression, stress, and similar conditions are only sometimes considered impairments under the ADA. Whether depression and stress are considered impairments depends on if they result from a documented mental or physiological disorder or if they result from personal life or job pressures. The impairment must substantially limit at least one major life activity.

Autistic Conditions ● Psychotic Conditions ● Affective Conditions
Personality Conditions ● Anxiety-based Conditions ● Somatoform Conditions

Do any of the ADA definitions above apply to you?*

Yes No

Are you able to perform the essential functions of this training program with or without reasonable accommodations? (Can you lift 50lbs, etc.)*

Yes No

Will you be able to wear appropriate clothing required for training? (All trainings require comfortable clothing that’s not too loose, no shorts or frayed jeans, and closed-toe shoes. Some trainings will require more specific items such as leather work boots. If selected, you will be informed of the required clothing.)*

Yes No

Have you completed any trainings through Alaska Works Partnership or any of the Alaska Construction Academies?*

Yes No

Did you learn about skilled trades careers / apprenticeship from a teacher or counselor while you were in high school?*

Yes No

Direct Referral Yes = 15 , No = 0

Where did you see the flyer?*

Training space is limited, we receive more applications than available spots. Please answer the following questions which may be used in the selection process.

Do you have reliable transportation to attend training? * If not AWP MAY be able to assist with transportation.*

Yes No

How do you plan on getting to the training?*

Do you plan on applying for a trade related job or apprenticeship program?*

Yes No Unsure

Applying to a trade / construction job Yes = 10 , Unsure = 5 , No = 0

Briefly describe your career goals, why you are applying to this specific training, how you plan to utilize this training if selected and why you think we should select you for this training opportunity.*

Application Summary / Intent (answer on application) 1 to 10

May we share your contact information to prospective employers? (AWP is contacted by employers looking for specifically trained people)*

Yes No

Can you pass a drug test for employment? (urine analysis, saliva tests, blood tests and hair follicle tests) this includes Marijuana (THC).*

Yes No

You will need to be interviewed for the class what days are best for you?*

ANY DAY Monday Tuesday Wednesday Thursday Friday

You will need to be interviewed for the class what times are best for you?*

ANYTIME 8AM to 10AM 10AM to 12PM 12PM to 1PM 1PM to 3PM 3PM to 5PM 5PM to 7PM

What is the best way to contact you?*

Text Message Email Phone Call

Do you want to schedule an appointment with an Apprenticeship & Employment planner in person or over the phone?*

Yes No

Wants to schedule a meeting with Apprenticeship & Employment Planner Yes = 10 , No = 0

If you are selected for training, AWP may provide the following personal protection / work gear. Please answer the following questions.

Work glove size?*

Small Medium Large X-Large 2X

Shirt / Hoodie Size?*

Small Medium Large X-Large 2X 3X

Eye Protection: Do you wear glasses?*

Yes No

Applicant Certification

Alaska Works Partnership is a grant funded non-profit program. Applicants who are interested in attending any of our trainings are required to review and complete the documents and information below. To be eligible for consideration, applicants must agree to abide by these policies. Applicants who choose not to comply with any of the policies below will not be considered for trainings.

PLEASE REVIEW THE LINKS BELOW TO COMPLETE YOUR ONLINE APPLICATION.

I understand that I should not attend any trainings with Alaska works if I have COVID symptoms. If I am suffering with allergies I will let my instructor know.*

Yes

We are an Equal Opportunity Program: To Review Equal Opportunity and Discrimination Notices CLICK HERE

I hereby certify that I have read and understand the content of the Equal Opportunity Law and Discrimination Notices *

Yes

Media Release: For and in consideration of the opportunity and privilege of appearing in or participating in one or more videos, sound tracks, films, photographs, written articles, brochures, training manuals, or recordings, I hereby consent to the use and editing thereof and release AWP, this training provider, State and Federal Agencies, and its employees as assignees from any and all claims resulting from such use, sale, editing, and release to media, newsletters or training manuals.*

Yes

All students are required to complete a survey for this program after training is completed. Do you agree to complete the survey, and keep Alaska Works aware of any changes in your contact information (phone, residence, e-mail address, etc.)?*

Yes

Alaska Works Class Rules: To Review Class Rules CLICK HERE

I hereby certify that I have read and understand the content of the AWP Class Rules.*

Yes

Supplemental Documents (LOR and/or Certifications / Trainings that show interest) 0 to 5

A copy or picture of Photo ID and Social Security Card, Birth Certificate OR Passport is required for all trainings.

Some trainings require additional documents for the application to be considered complete. See application confirmation email for more details.

We prefer you submit any documents by attaching them to this application below OR you can also turn them in electronically. Check confirmation email for more details.

Thanks!

You can attach a picture of your Photo ID Card here

No File Chosen