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Personal Data

Gender: (optional)
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Race: (optional)
Are you registered for vote?*
Do you text?*
Do we have permission to text you with job/local information?*

Employment Information

Are you employed at the present time?

School(s) Subjects Studied (if applicable)


Personal Information

Are you willing to go through the Kentucky Laborers Apprenticeship Program?
Have you ever been dismissed, or asked to resign from any position?
Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment?
(A yes answer to the above question does not necessarily disqualify an applicant from employment). If yes to numbers 4 or 5, please explain:

Previous Employment

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Please list on the following lines all schools attended and any other pertinent information about your education.
Are you willing to go through the Kentucky Laborers Apprenticeship Program?
(****If No, must be able to provide proof of 4,000 hours of approved experience and/or training)
(Provide Phone #)


Have you been active in the U.S. Military?
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Were you honorably discharged?
Are you currently in the National Guard or Reserves?
You will be subject to employer drug/alcohol testing, including employee random drug/alcohol testing. Refusal to submit to any employer required drug/alcohol test, testing positive, or testing adulterated for illegal drugs or alcohol may result in your dismissal. BY SIGNING THIS AGREEMENT, YOU WAIVE ANY PRIVACY CLAIM TO THE RESULTS OF A DRUG TEST ADMINISTERED THROUGH EMPLOYER TESTING. YOUR SIGNATURE IS YOUR CONSENT
Laborers Local 189 is committed to providing equal employment opportunities to all applicants regardless of economic or social status and will not discriminate on the basis of race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, marital status, or age. Laborers Local 189 does not discriminate against any employee or applicant for employment because of Vietnam-era veteran status, disabled veteran status, or physical or mental disability in regard to any position for which the employee or employment applicant otherwise meets minimum qualifications.
**Applications are good for a period of 60 days.

County covearge by zones


Bath, Bourbon, Boyle, Breathitt, Clark, Clay, Estill, Fayette, Franklin, Garrard, Harlan, Harrison, Jackson, Jessamine, Lee, Leslie, Letcher, Madison, Menifee, Mercer, Montgomery, Nicholas, Owsley, Perry, Powell, Scott, Wolfe, Woodford, and Robertson.


Bracken, Gallatin, Grant, Mason, Owen, and Pendleton

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