MnDOT-DEED HHCT Program Year 2015

MnDOT-DEED HHCT Program Year 2015

MnDOT/DEED Highway Heavy Construction Training Partnership

State Program Administration Minnesota WorkForce Center

540 North Fairview Avenue Suite 100

Saint Paul MN 55104

Directions for completing the MnDOT-DEED HHCT

Contact Data/Application Form

1. Read the Mn/DOT HHCT Program brochure and FAQ information sheets thoroughly.

2. Complete the Contact Data/Application form by carefully following the directions on

each page of the form.

3. Submit the Contact Data/Application Form by doing the following:

A. Remove this page and the FAQ section from the Application Form and either—

a. Fax all 3 sides of the completed Application Form to 651-642-0706; or

b. Mail the completed Application Form to the address at top of this page.

As an option, if you prefer to complete the application electronically you may e-mail

[email protected] to request an application. You will need to have Adobe

Reader available on your computer to read and complete the application

Please note — the MnDOT-DEED HHCT Contact Data/Application Form may be used to identify how well

you follow directions. Illegible or improperly completed forms may not be considered nor accepted.

Only successful applicants will be notified and sent an interview scheduling letter by e-mail. If you wish to

know the status of your application, contact the State Program Coordinator directly at

[email protected]

Priority will be given to applicants who have successfully completed the National Career Readiness

Certification (NCRC) exams, have achieved - at minimum - “Silver level” Certification and have included

their NCRC scores on the HHCT application. All HHCT candidates will be required to complete the NCRC

assessments before training classes begin. For more information about the National Career Readiness

Certification program and to schedule your exams, please see your local Minnesota WorkForce Center!

The MnDOT-DEED Highway Heavy Construction Training (HHCT) 2015 Partnership, funded by the MN Department of Transportation and managed by the MN Department of Employment and Economic Development, is designed to encourage the placement of underrepresented minorities and women in highway construction pre-apprentice laborer occupations associated with state/ federally funded highway construction projects. Graduates of the MnDOT-DEED HHCT Partnership Program receive basic training in construction terminology, safety rules and construction site safety (OSHA 30 certification), MnDOT flagger training, nutritional and physical preparedness/wellness and conditioning, use of hand and power tools, mathematics and associated

MnDOT-DEED HHCT Program Year 2015

MnDOT-DEED Highway Heavy Construction Training Partnership

State Program Administration Minnesota WorkForce Center

540 North Fairview Avenue Suite 100

Saint Paul MN 55104

651-642-0704

Please read these

FAQs

(

Frequently Asked Questions

)

about the

MnDOT-DEED HHCT (Highway Heavy Construction Training) Program

before you complete the

Program Application Form!

(Page 1 of 2)

Am I applying for a job with MnDOT when I fill out the application form? No. The form is used to help us decide if you will be eligible for a specialized pre-apprentice laborer training program that may help you get an entry-level highway construction job with private construction companies. This is why we are asking certain questions, such as concerning gender, ethnicity and automobile ownership that you don’t regularly find on an employment application. If your application is accepted, we will schedule you for a final screening interview to determine your eligibility for the training program. The Minnesota Department of Transportation (MnDOT) sponsors the MnDOT-DEED HHCT program; the

Minnesota Department of Employment and Economic Development (DEED) coordinates and manages it.

Am I guaranteed a job after the training is done? No. However, HHCT Program graduates will have gained highway construction industry knowledge, safety training and insights that will greatly improve their opportunities to get highway construction jobs. While in training, participants will be able to network directly with employers and local union officials and/or representatives. Program graduates are able to offer construction employers an HHCT Certificate, Minnesota

Flagger Certification and OSHA-30 Certificate as evidence that they have completed the training program. How does the MnDOT-DEED HHCT Program compare to other construction training programs?

1.

2.

3.

training curricula in strict conformance to MnDOT-DEED HHCT specifications and standards. OSHA certified

instructors deliver OSHA 30 Certification training. Additionally, construction employers and union reps

participate in delivering the training, thus providing great networking opportunities for HHCT graduates.

4.

regional career professionals who possess substantial experience with local employers and job markets. I have lots of practical construction experience. Do I still have to go through the HHCT training in order to receive Program benefits? Students must complete all training. You should note that applicants already possessing pre/apprentice/journey level construction experience/training or other similar training are not eligible for this program. Will I be paid while I attend the training? No. Do I have to pay for the training? No, it’s free of charge.

Can a person with a felony record apply for the Program? Yes. Highway construction occupations are among the most accommodating to ex-offenders. All participants must have unrestricted availability for all HHCT related events.

The MnDOT-DEED Highway Heavy Construction Training (HHCT) 2015 Partnership, funded by the MN Department of Transportation and managed by the MN Department of Employment and Economic Development, is designed to encourage the placement of underrepresented minorities and women in highway construction pre-apprentice laborer occupations associated with state/federally funded highway construction projects. Graduates of the MnDOT-DEED HHCT Partnership Program receive basic training in construction terminology, safety rules and construction site safety (OSHA 30 certification), MnDOT flagger training, nutritional and physical preparedness/wellness and conditioning, use of hand and power tools, mathematics and associated measurements/dimensions/formulae in construction, highway construction industry norms and culture, and networking/job search/targeted resume development/job retention skills.

MnDOT-DEED HHCT Program Year 2015

MnDOT-DEED Highway Heavy Construction Training Partnership

State Program Administration Minnesota WorkForce Center

540 North Fairview Avenue Suite 100

Saint Paul MN 55104

651-642-0704

FAQs

(

Frequently Asked Questions)

(Page 2 of 2)

Can a non-female, non-minority person apply for the HHCT program? No person is restricted or prohibited from applying. Eligibility for the final screening interview will be determined by applying MnDOT-DEED HHCT program guide-lines, “...to reduce the disparity in ethnic minority and female workers in Minnesota’s highway construction workforce.” What happens after my application is reviewed? If your application qualifies, you will be scheduled for a final screening interview where you will be required to provide supporting documentation and answer several questions. If you pass the interview and if you do not currently possess a National Career Readiness Certification (NCRC) certificate, you will be advised to schedule for NCRC testing at a Minnesota WorkForce Center. NCRC testing verifies your math, reading and information locating abilities. Please note that applicants who currently possess and declare Silver NCRC Certification or higher on the HHCT application will be prioritized for interviews. You may also independently arrange for free NCRC testing at a Minnesota WorkForce Center. You will have one opportunity to complete the NCRC test and achieve a sufficient score; no retesting is permitted for the HHCT program. If your NCRC test scores are sufficient and completed in time, your MnDOT-DEED HHCT program training will then be scheduled at one of the HHCT District sites. If my HHCT Application is declined or my NCRC score is low or too late, what other opportunities are available? 1. It may be helpful to speak with a Minnesota WorkForce Center Representative to find information about alternative

training and apprenticeship programs. Some training programs provided by schools and/or community agencies may require fees and/or tuition.

2. MinnesotaWorks.net offers powerful resources and information about job opportunities and current apprenticeships. 3. Additional trade apprenticeship information is available at http://mn.gov/deed

Will I be notified if my HHCT Program Application is declined? No. Because of the tremendous number of HHCT applications we receive, we encourage applicants to e-mail [email protected] to receive information about their HHCT application status. Only successful applicants will be sent an interview scheduling letter by e-mail.

If I make a mistake on the HHCT Program Application and I’m declined, can I fill out another application? If your current application is declined, we may consider your new application for the next HHCT Program Year. We advise declined applicants to carefully review all eligibility criteria detailed in the program brochure and these FAQ sheets. If I miss my scheduled HHCT interview, can I ask for another one? Because of the large number of HHCT program interviews we schedule we may, at our option, grant one (1) request for interview rescheduling. The candidate must have a substantial reason for missing the original/first interview and must call 651-642-0704 within 24 hours of the original/first interview time and date. Rescheduling will be at the sole discretion of the State Program Coordinator. Why do I need to declare vehicle ownership and insurance? Construction work requires independent transportation. Why do I need an e-mail account? Interview invitations and all program correspondences are distributed by e-mail. Where do I send the completed application? You may mail or fax it to the address/fax number at the top of this form.

The MnDOT-DEED Highway Heavy Construction Training (HHCT) 2015 Partnership, funded by the MN Department of Transportation and managed by the MN Department of Employment and Economic Development, is designed to encourage the placement of underrepresented minorities and women in highway construction pre-apprentice laborer occupations associated with state/federally funded highway construction projects. Graduates of the MnDOT-DEED HHCT Partnership Program receive basic training in construction terminology, safety rules and construction site safety (OSHA 30 certification), MnDOT flagger training, nutritional and physical preparedness/wellness and conditioning, use of hand and power tools, mathematics and associated measurements/dimensions/formulae in construction, highway construction industry norms and culture, and networking/job search/targeted resume development/job retention skills.

MnDOT/DEED HIGHWAY HEAVY CONSTRUCTION TRAINING PROJECT

CONTACT DATA AND APPLICATION FORM

(BtB)

– Program Year 2015

This Contact Data/Application Form must be filled accurately, completely, and only by the Applicant.

Failure to comply with the above directions shall result in the Applicant being dismissed from consideration.

Effective 11/1/2014, only “Contact Data and Application Form(BtB) –Program Year 2015” will be applicable for the HHCT-2015 Program Year. MnDOT-DEED HHCT Administration reserves the right to reject any application.

CONTACT DATA / GENERAL INFORMATION

Name: ______________________________________________________________________________________________________ Last, First, Middle Initial

Address: ____________________________________________________________________________________________________ Street Number, Apartment/Unit

_______________________________________________________ ______________ # years at this address: ____________ City, State and Zip Code)

Phone Number: (____) _________ Cell Phone: (____) _________ (An active phone # or message phone # is necessary for HHCT program eligibility)

Social Security # ____-____-______ E-mail _____________________________ (An e-mail account is necessary for HHCT program eligibility)

Do you possess the following? (A valid driver’s license, an independently owned vehicle, and vehicle insurance are necessary for HHCT program eligibility) Driver’s License? Yes ____ or No ____ If yes, check classification: Class A ____ Class B ____ Class C ____ Class D ____ Current Driver’s License Number: _______________________________ State: ________ Expiration Date: ____________________ Do you own an automobile? Yes ____ or No ____ (A vehicle you that you own and vehicle insurance are necessary for HHCT program eligibility) Car Insurance Company/Agency _______________________________________ Policy # _________________________________ Are you a US Citizen? Yes ____ or No ____ If not a US citizen, are you authorized to work in the U.S.? Yes ____ or No ____ Alien Card # __________________________

EDUCATION / TRAINING

School

City/State

Program/Major

Dates Attended

Graduated? Y/N

High School/GED Vocational Cert Associate Degree Four Year Degree Apprenticeship

(The National Career Readiness Certification exams are used to establish HHCT program eligibility and must be completed before starting HHCT classroom training. Preference will be given to applicants who submit copies of their NCRC exam scores/Certificate with the MnDOT-DEED HHCT Application Form. All applicants must achieve at least “level 4” scores in Reading, Math and Information Finding for HHCT program eligibility. See your District Workforce Center for more information.) Have you successfully completed the three-part National Career Readiness Certification exam? Yes ____ or No ____

If yes, write in your final scores and include a copy of your certificate: Reading _____ Math _____ Information _____

Are you a Military Service Veteran? Yes ____ or No ____ If yes, do you have a service-related disability? Yes ____ or No ____ List all languages you speak: _____________________________________________________________________________________ Occupational licenses, trade/technical and Apprentice/Journey certificates: ______________________________________________ What skills, knowledge, and training would you bring to a highway construction occupation? ________________________________ ____________________________________________________________________________________________________________ What construction or building equipment/machinery have you operated professionally? ____________________________________ ____________________________________________________________________________________________________________

MnDOT/DEED HIGHWAY HEAVY CONSTRUCTION TRAINING PROJECT CONTACT DATA AND APPLICATION PG 2

This Contact Data/Application Form must be filled accurately, completely, and only by the Applicant.

Failure to comply with the above directions shall result in the Applicant being dismissed from consideration.

EMPLOYMENT HISTORY

Begin with your most recent paid or volunteer job and list all the jobs you’ve had in the last 10 years.

Blank/incomplete areas will not be accepted. All areas must be filled in accurately and completely.

If you require additional space to list your work history, photocopy this page and include the additional pages with your application..

Most Recent Employer Date Started Date Ended

Street Address City State Zip

Job Title Hours per week Hourly wage Phone

Brief description of duties and responsibilities – DO NOT WRITE IN, “SEE RESUME” Why did you leave?

Employer Date Started Date Ended

Street Address City State Zip

Job Title Hours per week Hourly wage Phone

Brief description of duties and responsibilities – DO NOT WRITE IN, “SEE RESUME” Why did you leave?

Employer Date Started Date Ended

Street Address City State Zip

Job Title Hours per week Hourly wage Phone

Brief description of duties and responsibilities – DO NOT WRITE IN, “SEE RESUME” Why did you leave?

HIGHWAY CONSTRUCTION EMPLOYMENT READINESS

Highway construction jobs are physically strenuous and demanding, and often include exposure to temperature and weather extremes. You will likely be required to lift 70lbs or more occasionally, and 40lbs regularly. You will frequently bend, reach, climb, crawl, stretch, pull and carry large and heavy equipment and materials in limited access/confined areas. You will constantly listen/observe for hazardous machinery and traffic. You will monitor and assess potential and developing dangerous work environments/situations in elevated/subterranean/crowded/isolated work areas. You will monitor, respond to and/or report changes in machinery operating conditions. You will quickly and accurately receive, relay and

implement verbal, radioed and written safety and work instructions. Will you be able to perform these required functions repeatedly, without distraction and under severe temperature/weather conditions without causing risk/endangerment to yourself or others? Yes ____ or No ____

Will you be able to work more than 40 hours/week, 8 hours/day and any shift without advance notification? Yes ____ or No ____

Do you have any current limitations imposed upon your Driver’s License, other than prescription eyewear, that would restrict your 24-hour availability to drive to work anywhere in Minnesota? (A valid current driver’s license is necessary to establish employment readiness and HHCT program

eligibility, and to support your successful acquisition and retention of highway heavy construction jobs) Yes ____ or No ____ If yes, please identify the restrictions. __________________________________________________________________________________________________

MnDOT/DEED HIGHWAY HEAVY CONSTRUCTION TRAINING PROJECT CONTACT DATA AND APPLICATION

PG 3

This Contact Data/Application Form must be filled accurately, completely, and only by the Applicant.

Failure to comply with the above directions shall result in the Applicant being dismissed from consideration.

Why should we consider you for the MnDOT/DEED Highway Heavy Construction Training Program? Tell us why you would be a great candidate for this training program. Why should we invest time and $ in you? Argue your best case for yourself - be original and creative! ____________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Are you registered in and using the MinnesotaWorks.net program for job search? Yes ____ or No ____

If we were to interview your friends/work associates and ask them to describe you in only four words, what four words would they use? ________________________________________________________________________________________________________

ELIGIBILITY/DATA STATEMENT AND APPLICANT SIGNATURE

Please check the appropriate boxes:

Gender: _____ Female _____ Male

With which racial/ethnic group do you identify yourself?

If the group appropriate for you is not listed, please check the one that comes closest. Please select only one group.

_____ Asian, Pacific Islander _____ Native American or Alaskan Native _____ White _____ Hispanic/Latino _____ Black/African American

HHCT Program participants who receive some types of financial assistance or support may, on occasion, be eligible for additional financial incentives from the HHCT Program or program partners. Are you receiving funds or benefits from any of the following assistance/support or subsidization programs?

_____ MFIP _____ Section 8 _____ Food Stamps _____ Medical Assistance _____ Dislocated Worker _____ Social Security Disability _____ Unemployment Insurance _____ Other Compensation Program

If you have any questions concerning the MnDOT/DEED HHCT-2015 Program or this application, please review the “HHCT FAQ Sheet” and tri-fold Brochure. You may also contact the MnDOT-DEED HHCT State Program Coordinator at 651-642-0704 or [email protected]. All applicants are advised that only eligible

applicants will be notified and by e-mail only. Interview scheduling letters will be distributed by e-mail only. Missing or illegible applicant e-mail account information shall be cause for denying eligibility.

 I certify that the information I provided on all pages and attachments to this Contact Data/Application Form is complete and

accurate. I understand that I must contact the Program Coordinator directly for further information regarding my eligibility.

 I have read all parts of this application form and I understand that my giving false information or my failure to fully complete any

section of this Form shall be cause for denying my eligibility for and/or subsequent participation in the MnDOT/DEED Highway Heavy Construction Training Program. I may request a photocopy of this completed application from the WorkForce Center.

 I understand that I am advised to read the MnDOT-DEED HHCT-2015 Program tri-fold Brochure and HHCT-2015 FAQ Sheet.  I understand that I am limited to submitting one application for the MnDOT-DEED HHCT-2015 Program Year.

 I understand that additional screening and determination of HHCT Program eligibility will be performed and researched by the Minnesota WorkForce Centers and the MnDOT/DEED HHCT State Program Coordinator or designate before and after my interview.

Applicant’s Signature: _______________________________________________ Date: _______________________

We are an Equal Opportunity Employer and Service Provider and are committed to recruitment, hiring, training and promotion of persons without regard to race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, veteran status or age. Access to and eligibility for some specialized programs and services, such as the MnDOT/DEED Highway Heavy Construction Training (HHCT) Program, may be limited to specific populations or demographics. This document is available in alternative formats upon request, including e-form.

PLEASE NOTE THAT YOU ARE PROVIDING INFORMATION IN THE FOLLOWING SECTION THAT WILL BE USED TO DETERMINE YOUR MnDOT-DEED HHCT-2015 PROGRAM ELIGIBILITY.

IF YOU CHOOSE NOT TO PROVIDE THE REQUESTED INFORMATION, WE WILL BE UNABLE TO DETERMINE YOUR ELIGIBILITY FOR THE MnDOT-DEED HHCT-2015 PROGRAM AND YOUR APPLICATION WILL BE DECLINED. NO NOTIFICATION OF DECLINATION WILL BE FORWARDED. THIS INFORMATION WILL REMAIN CONFIDENTIAL AND IS REQUESTED TO DETERMINE MnDOT-DEED HHCT PROGRAM ELIGIBILITY.

Program Admin Office Use Only

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