APPLICATION for LABORERS-AGC Training Center

I agree to abide by the “Rules & Regulations” and “Conditions of Application” of the LABORERS-AGC Training Center (High Hill, MO). I hereby make application for the following training class:


Enter Local

(Course Title/Date)


(social security number) Enter SSN in the format XXX-XX-XXXX

(First) Enter First Name  

(mi)Enter Middle Name

(last)Enter Last Name

(jr/sr) Enter Jr or Sr

(street address / route / box or apartment number) Enter Street Address

(city) Enter City

(state) Enter State

(zipcode) Enter Zip Code

(HOME telephone number) Enter Home Phone in the format: (XXX)XXX-XXX

(CELL number) Enter Cell Phone in the format: (XXX)XXX-XXX
Enter if we can text your cell phone. Okay to send TEXT to CELL?

(EMAIL address) Enter your email.
- -
(date of birth) Enter your date of birth
ARE YOU PRESENTLY EMPLOYED:
Enter if you are presently employed.
Name of present / or last contractor:
Enter Contractor
Local No:
Enter Local Number

Agree to the terms of the application.

By typing your signature and pressing Submit you agree to the terms of the High Hill Training Center.
Signature:
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Date:
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Note : Complete a separate application form for each class you apply for - limit number of applications to 3 applications per schedule- mail completed application forms to your local union office- they will verify your information and forward your application to the Training Fund Office.

***********************************must be completed by local union office *****************************************
I hereby certify that this person is a member in good standing of Local _______ and has worked for the contributing contractor named above.
Member’s Admission/Readmission Date is: _______/_______/_______.
Dues paid through ___________________________.

Signed: ___________________________________________         Date: ________________
Title: ____________________________

CLASS APPLICATION INFORMATION

Classes are open to construction laborers who are members of Locals 42-110 (St. Louis), 660 (St. Charles), 662 (Jefferson City), 840 (Rolla),955 (Columbia), and 1104 (Cape Girardeau) and have been employed by contractors contributing to the training fund.

Class schedules and application forms are available from your local union office, the Training Center or on our web site www.laborers-highhill.org. org. You must complete a separate application form for each class you are interested in. Members should limit applications to no more than three (3)applications per schedule.

MEALS - LODGING - INSTRUCTION - TOOLS - EQUIPMENT - SUPPLIES - CLASSROOM MATERIALS and TRAVEL EXPENSE are all provided by the Training Center.

Return your application form to your local union office - the local union office will verify information and forward your application to the training center. The Training Center cannot accept applications that have not been processed through your Local Union Office. The training center will mail a “Notice-to-Attend” complete with all details of the training to your home address. If you later return to work or are unable to attend the class for other reasons, simply call the Training Center (day, night or weekends at 636-585-2391) and leave a message on the recorder withdrawing from the class.

UNEMPLOYED MEMBERS: You may continue to receive Missouri unemployment benefits when you take classes since you are available for work while at the Training Center. Missouri Law (RSMo. Section 288.055) provides for this. Complete details and further information will be included with your “Notice-to-Attend” in the “Rules and Regulations”.

EMPLOYED MEMBERS: Some contractors compensate Members who are willing to take the time to take training classes that benefit themselves and their employers. Talk to your job superintendent or project manager, or contact your contractor regarding your company’s particular policy

IMPORTANT - NOTE

Mail/return your completed application form to the local union office in your area. The local union office will verify your application form and forward it to the training fund office. The Training Center cannot accept applications that have not been processed through your local union office.

The training center will mail a “Notice-to-Attend” complete with all details of the training to your home address. It is your responsibility to notify the training fund office if you are unable to attend the class for any reason. Simply call the Training Center, day, night or weekends at (636) 585-2391 and leave a message on the recorder.

LABORERS' LOCAL 42

301 South Ewing Avenue
St. Louis, MO 63103
Phone: 314.531.1187
Email: laborers@local42.us
Website: www.local42stl.com

LABORERS' LOCAL 110

4532 South Lindbergh Boulevard
St. Louis, MO 63127
Phone: 314.892.0777
Email: cmeier@lu110.com
Website: www.lu110.com

LABORERS' LOCAL 660

2633 West Clay Street
St. Charles, MO 63301
Phone: 636.946.8766
Email: ll660@laborers660.org


 

LABORERS' LOCAL 662

209 Flora
Jefferson City, MO 65101
Phone: 573-635-1441
Email: ll662@mchsi.com


 

LABORERS' LOCAL 840

10760 County Road 2000 (North Y)
Rolla, MO 65401
Phone: 573.364.3928
Email: local840@fidnet.com

LABORERS' LOCAL 955

409 Vandiver Drive, Building 5
Suite 100
Columbia, MO 65202
Phone: 573.499.3720
Email: laborers955@gmail.com

LABORERS' LOCAL 1104

773 Enterprise
Cape Girardeau, MO 63703
Phone: 573.334.7722
Email: local@laborers1104.org