Pre-Apprenticeship Application

EEO Pledge: Midcoast Energy Systems will not discriminate against pre-apprenticeship applicants or apprentices based on race, color, religion, national origin, sex (including pregnancy and gender identity), sexual orientation, genetic information, or because they are an individual with a disability or a person 40 years old or older. Midcoast Energy Systems will take affirmative action to provide equal opportunity in apprenticeship and will operate the pre-apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30.

Step 1 of 3

Education
Please List your High School Education*
Name and Address of School Course of Study Number of Years Completed Diploma / Degree
Please List your Undergraduate College Education
Name and Address of School Course of Study Number of Years Completed Diploma / Degree
Please List your Graduate / Professional Education
Name and Address of School Course of Study Number of Years Completed Diploma / Degree
Please List any Other Education
Name and Address of School Course of Study Number of Years Completed Diploma / Degree
Work Experience (Optional)
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Starting / Present Job Title
Supervisor
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Work Performed
Reason for Leaving
May we Contact?
- Yes
- No
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Starting / Present Job Title
Supervisor
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Work Performed
Reason for Leaving
May we Contact?
- Yes
- No
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Starting / Present Job Title
Supervisor
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Work Performed
Reason for Leaving
May we Contact?
- Yes
- No
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Starting / Present Job Title
Supervisor
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Work Performed
Reason for Leaving
May we Contact?
- Yes
- No
Comments: Include explanation of any gaps in employment.

Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Additional Information
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Other (list)
Add additional items by selecting the plus sign (+) to the right.
In 200-400 words, please explain 1) why you are interested in the pre-apprenticeship program at Midcoast Energy Systems, 2) what you might want to do after graduation, and 3) how your participation in this program will support your personal and/or career goals.
State any additional information you feel may be helpful to us in considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.*
Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?
- Yes
- No
Personal / Professional References (3)*
Do not include family members or past supervisors. Add additional items by selecting the plus sign (+) to the right.
Name Phone Number Best Time to Call Occupation
I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Signature of Applicant*
Date*
MM slash DD slash YYYY

Name	Phone Number	Best Time to Call	Occupation

Pre-Apprenticeship Application

Step 1 of 3

Education

Work Experience (Optional)

Additional Information