Common Contracts

ETA-671 APPRENTICESHIP AGREEMENT AND

Apprenticeship Agreement • August 2nd, 2021

• Contract Type
  Apprenticeship Agreement
• Filed
  August 2nd, 2021

APPRENTICE AGREEMENT AND REGISTRATION – SECTION II OMB No. 1205-0223 Expiration Date: 06/30/2024 PART A: APPRENTICE’S INFORMATION 1. First Name Last NameMiddle Name (Optional) Suffix (Optional) Address (No., Street, City, State, Zip Code)Apprentice AddressApprentice City Apprentice StateApprentice Zip Telephone Number (Optional) E-mail Address (Optional) *Social Security Number Answer Both 4a. and 4b. below4. a. Ethnicity (Select One)☐ Hispanic or Latino☐ Not Hispanic or Latino☐ Participant Did Not Self-Identifyb. Race (Select One or More)☐ American Indian or Alaska Native☐ Asian☐ Black or African American☐ Native Hawaiian or other Pacific Islander☐ White☐ Participant Did Not Self-Identify 5. Veteran Status(Select All That Apply)☐ Non Veteran☐ Veteran☐ Non Veteran, Other Eligible Individual☐ Veteran, Eligible☐ Participant Did Not Self- Identify 6. Education Level (Select One)☐ Not High School graduate☐ High School graduate (including equivalency)☐ Some College or Associate’s degree☐ Ba