Apprenticeship Sponsor Application Form

Company Name*

Training Trade(s)*

Company Address*

Street Address Address Line 2 City State ZIP Code

Primary Contact Name*

Primary Contact Email Address*

Company Telephone Number*

Fax Number

Website

Year Business Started*

Federal Employer I.D. Number*

Unemployment Compensation Number*

Person Responsible for Training in this Trade*

Title*

Is your company minority-owned?*

Yes
No

Does your company qualify for any of the following?

MBE
WBE
DBE

Has your company trained apprentices before?*

Yes
No

Number of Contracted Apprentices in this Trade

Total Number of Employees (approximate)*

Number of Skilled Craftspersons, Journeypersons, and/or Masters Presently Employed by Company in this Trade*

For affirmative action purposes:

Number of Female Journeypersons*

Number of Minority Journeypersons*

Present Skilled/Journeyworker Base Skilled Wage Rate per Hour for this Trade (not to include any benefits)*

Does your company provide the following?*

Worker's Compensation
Unemployment Compensation
Safety Training
Hazard Communication Training
My company does not offer these options

Does your company have a written safety and hazard communication program?*

Yes
No

If no, would you like ABC of Wisconsin to contact you regarding creating a written safety and hazard communication program?

Yes
No

Please include a letter verifying your company has a written safety and hazard communication program.

Max. file size: 5 MB.

* Letter must be received by ABC of Wisconsin before contractor can be approved

Employers will receive a login to our apprenticeship database to review your apprentice(s) records. Employers are responsible to review these hours for accuracy. Any discrepancy should be reported to ABC of Wisconsin.

Please list the appropriate person to be set up as a user.

Apprenticeship Program Communication Contact*

Email*

How did you hear about ABC of WI's apprenticeship program?

Is your company a member of ABC of Wisconsin?*

Yes
No

If no, there is a one-time initial $350.00, non-refundable, Employer Application Fee required with the submission of this application form. This fee is waived for ABC members.

Employer Application Fee

Price:

How will you be paying?

Credit Card
Check

Credit Card

Card Details

Cardholder Name

Check Payment:

Please send payment for the total amount to:

ABC of Wisconsin
5330 Wall St.
Madison, WI 53718

Apprentice Applicant Name (if applicable)

Please review the following for accuracy before submission:

Letter on company letterhead stating your company has a Safety and Hazard Communication Program in place
Unemployment compensation number
Federal I.D. number
Non-member fee, if applicable
Years in business
Number of skilled (journeymen, masters, etc) workers

Accuracy Check*

I have reviewed these items

By signing, our company hereby agrees to comply with the provisions of the Apprenticeship Standards formulated by the Associated Builders and Contractors of Wisconsin, Inc. It agrees to carry out the intent and purpose of the said standards and to abide by the rules and decisions of the Committee established under the standards by the Associated Builders and Contractors of Wisconsin, Inc.

Signature*

Title*

Date*

Email

This field is for validation purposes and should be left unchanged.

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ABC of Wisconsin Apprenticeship Program
Sponsoring Employer Application

ABC of Wisconsin Apprenticeship Program Sponsoring Employer Application

ABC of Wisconsin Apprenticeship Program
Sponsoring Employer Application