March 7th, 2010 class 

National Plumbers and Pipe Fitters Training Application Package 

The Office of Indian Energy and Economic Development, Office of Workforce Development (477 office) 
in partnership with The United Association of Plumbers, Pipefitters, and Sprinkler fitters is seeking 
applicants for the upcoming training at the UA Local 597 in Mokena, Ill. 

Upon completion of the 16 week training, students may be offered a second or third year apprenticeship 
depending on their level of certificate completion. The training will prepare students for long-term 
careers with the United Association Pipefitters industry. Students attending UA training are expected to 
join the Union and be willing to relocate to complete the assigned apprenticeship to earn a Journeyman 

license. 

Application and Acceptance Process 

1. Submit Application with all supporting documents. Only complete applications with all 
supporting documents will be accepted. Required documents: Proof or Certificate of Indian 
Blood, Social Security Card, and Driver's License or Photo ID. Referral letter from the case 
manager is highly recommended. 
2. Applications are screened for basic requirements. 
3. A phone interview is conducted. 
4. If the phone interview indicates that the applicant is eligible, perspective students are required to 
take a hair follicle drug test and a physical. 
5. Final acceptance is determined upon receipt of the drug test results, the physical results, and 
recommendations. 
6. An Individual Plan for Success is understood and agreed upon by the prospective students and 
case manager. 
Important DetaiislReminders 

• Students should apply to their Tribal Employment and Training office as they will need assistance 
with drug testing, physicals, transportation, supplies, and case management services. 
• Students must have a High School diploma or a GED. Students may be subject to an academic 
assessment. 
• Students must have or be eligible for a Driver's License. 
• Students will be required to take a drug test prior to full acceptance to the program. 
• Students may be subject to an additional occupational physical to demonstrate capable physical 
ability, motor skills, eye exam, hearing exam, and ability to lift 50 pounds during working 
situations. 
• StudentsmustbewillingtojointheUAandrelocatetocompletetheirapprenticeship. 
• Students are responsible for their transportation to and from the training location. 
Please visit www.UA.org to learn more about welding careers with the UA. 

Submitting Application and Documents 
Submit completed applications by faxing application to 715-799-4470, attention Sue Blodgett or 
application and scanned documents can be submitted vie email to sblodgett@mitw.org. 


DivisionofWorkforceDevelopmentPublicLaw102-477NationalPipefittersTraining,Mokena,IL.
Class#6,March7,2010FullNameAge:DaB:S_S_#:--
Circleone:FemaleMalePhoneNo.:Message#:
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DivisionofWorkforceDevelopmentPublicLaw102-477NationalPipefittersTraining,Mokena,IL.
Class#6,March7,2010EmploymentHistory(Pleaselistthelast3employers)
1Company:PhoneNo.:Supervisor:
Address:City:State/Zip:
JobTitle:HrlyWage:Hoursperweek:
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2Company:PhoneNo.:Supervisor:
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JobTitle:HrlyWage:Hoursperweek:
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3Company:PhoneNo.:Supervisor:
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JobTitle:HrlyWage:Hoursperweek:
Reasonforleaving:
Referredby:
Program:Address:
P.o.Box/StreetCityStatelZipName:Title:Phone#:
CertificationofApplicant:
Icertifythattheinformationprovidedistruetothebestofmyknowledge.Iamawarethattheinformationprovidedissubjecttoreviewandverification,andthatImayhavetoprovideadditionalinformation.IauthorizetheDivisionofWorkforceDevelopmenttosharethisinformationwithpartnersparticipatinginprojectforthepurposeofassistingmeinbtainingassistance,training,
education,and/oremployment.
Applicant'sSignatureDatePleasesubmitthefollowingsupportingdocumentsGCIBoSocialSecurityCardoPhoto10(TribalorState)
GReferralletlerfromcasemanager(highlyrecommended)
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