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Form NameForm App 50
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to fill apprentice form building contractor, how to fill an apprentice form, how to fill form of apprentice, how to compose an apprenticeship form on catering line

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APPRENTICESHIP AGREEMENT

 

APP-50

 

PLEASE TYPE OR PRINT CLEARLY)

5/08

PROGRAM REGISTRATION NUMBER

SOCIAL SECURITY NUMBER

D.O.T. NUMBER

 

 

 

 

 

 

There shall be a period of probation of not more than four (4) months during which the apprenticeship agreement may be terminated by either party to the agreement upon written notice to the registration agency. After the probationary period, the agreement may be suspended, cancelled, or terminated by the supervisor by mutual agreement of the parties, or by the supervisor for good and sufficient reason, with due notice to the apprentice and reasonable opportunity for corrective action, and with written notice to the apprentice and to the sponsor of final action taken. All controversies or differences concerning the apprenticeship or on-the-job training agreement which cannot be adjusted by the parties shall be submitted to the supervisor for determination as provided in KRS 343.070.

.

The program sponsor and apprentice agree to the terms of apprenticeship standards as incorporated as part of this agreement.

1. AGREEMENT BETWEEN

 

 

 

2. DATE OF AGREEMENT

 

 

 

 

 

 

 

 

 

 

APPRENTICE AND: ("x" one)

 

 

(Month, Day, Year)

 

3. NAME OF APPRENTICESHIP STANDARDS (NAME & ADDRESS)

a.

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. NAME OF APPRENTICE (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.DATE OF BIRTH (MM/DD/YY)

7.SEX ("X" one)

5. APPRENTICE'S ADDRESS (Street, City, County, State, Zip Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. RACE/ETHNIC GROUP ( "X" one)

 

 

 

 

 

 

 

 

 

 

 

 

a.

b.

c.

 

 

 

 

 

 

 

 

 

d.

e.

f.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.SIGNATURE OF APPRENTICE

 

 

 

DATE

 

 

 

 

10.SIGNATURE OF PARENT/GUARDIAN (If minor)

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. TRADE

 

 

 

 

 

 

 

12. TERM OF APPRENTICESHIP (Hours)

13. PROBATIONARY PERIOD (Hours)

 

 

 

 

 

 

14 CREDIT FOR PREVIOUS

15. TERM REMAINING (Hours)

16. DATE APPRENTICESHIP BEGINS

17. RELATED INSTRUCTION TRAINING

EXPERIENCE (Hours)

 

 

 

 

 

(MM/DD/YY)

 

 

 

(No. Hrs/Yr.)

 

 

 

 

 

 

 

 

 

 

 

 

18. APPRENTICE WAGES FOR RELATED INSTRUCTION TRAINING ("X" One)

 

 

19. PRESENT JOURNEYPERSON'S HOURLY WAGE RATE

a.

"#

b.

"#

 

 

 

$

 

 

 

 

 

 

20. VETERAN STATUS ("X" One)

!

 

 

 

 

 

 

 

 

 

 

 

21.APPRENTICE WAGES- The apprentice schedule of pay shall be listed after each advancement period. The work processes listed in the standards (item 3 above) are part of this agreement.

PERIOD

TERM

%

PERIOD

TERM

%

PERIOD

TERM

%

 

(Hours)

 

 

(Hours)

 

 

(Hours)

 

 

A.

B.

C.

A.

B.

C.

A.

B.

C.

1

 

 

2

 

 

3

 

 

 

4

 

 

5

 

 

6

 

 

 

7

 

 

8

 

 

9

 

 

 

10

 

 

11

 

 

12

 

 

 

13

 

 

14

 

 

15

 

 

 

22. SIGNATURE OF COMMITTEE ( if applicable)

DATE SIGNED

23.

SIGNATURE OF AUTHORIZED OFFICIAL

 

 

 

 

 

 

(Employer/Sponsor)

 

DATE SIGNED

 

 

 

 

 

 

 

SIGNATURE OF COMMITTEE ( if applicable)

DATE SIGNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. REGISTRATION AGENCY FOR STATE AND FEDERAL PURPOSES

25. NAME AND ADDRESS OF DESIGNEE TO RECEIVE INQUIRIES

KENTUCKY LABOR CABINET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF WORKPLACE STANDARDS

 

 

 

 

 

 

 

DIVISION OF EMPLOYMENT STANDARDS, APPRENTICESHIP AND

 

 

 

 

 

 

 

 

 

 

TRAINING IN COOPERATION WITH THE APPRENTICESHIP & TRAINING

 

 

 

 

 

COUNCIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26. SIGNATURE (Supervisor of Apprenticeship)

 

DATE REGISTERED