Inquiry Form LIUNA Chicagoland Laborers' District Council Training and Apprentice Fund

Inquiry

Name*

Phone Number*: Example: (555) 555-5555

Email*: Example: name@example.com

Address*

Birthdate*: Example: 01/01/2006

Race*

Gender*

Are you a veteran?*: Yes No

Do you have a valid Driver's License?*: Yes No

Are you legally eligible to work in the U.S.?*: Yes No

Are you receiving public assistance?*: Yes No

Do you have access to a vehicle?*

Have you ever been convicted of a felony?*: Yes No

Are you currently employed?*: Yes No

On average how many hours per week do you work?*

Highest level of education you've completed?*

Are you a current or former student of either of the following schools? Select all that apply.

Chicago Public Schools
City Colleges of Chicago

Are you a union card holder with a construction building trade?*: Yes No

*required fields

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LIUNA Chicagoland Laborers' District Council Training and Apprentice Fund 1200 Old Gary Avenue Carol Stream, IL 60188 (630) 653-0006
5700 W. Homer St. Chicago, IL 60639

Inquiry

Construction Experience

Trade Information

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