Associated Builders and Contractors, Inc. - Southeastern Michigan Chapter > Construction Academy

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What is your preferred school location (please check one):

Madison Heights
Lapeer
Monroe
Adrian

Would you like to be added to the student job list?:

First Name:

Last Name:

Middle:

Email Address:

Address:

City:

State:

Zip Code:

Cellular Phone:

Please select a trade:

DOB:

SSN:

Have you ever applied to the program before?:

If yes, what year?:

Have you completed any coursework in this program?:

If yes, what course?:

Department Of Education

What is your highest level of education?:

High School/GED
Some College
Bachelor's Degree of Higher

Sex:

Male
Female

Race:

Caucasian
African American
Middle Eastern
Hispanic/Latin America
Asian/Pacific Islander
Native American/Alaskan
Other

Do You Have a Disability?:

Yes
No

Military Status:

Veteran
Non-Veteran

Year enlisted from:

Enlisted to:

DOL_Last name:

DOL_First name:

DOL_Middle name:

Tuition

Working in trades:

I am working in the trades
I am NOT working in the trades

Company name:

CompanyPhone:

Company address:

Company City:

Company State:

Company Zip:

Form of Payment

Type of Payment:

Self Pay
Company Pay

Company Pay Option:

Deducted from my paycheck
Paid in part by my company (i.e., less than 100%)
Paid in full by my company (i.e., 100%)
Reimbursed to me at the end of the semester/year

Company Contact Name:

Contact Email for Invoices:

Student Signature Needed

ABC SEMI Member Name:

Counselor name:

SEMCA Student Name:

Job Fair Name:

Other name:

How did you hear about SEMCA (please check all that apply)?:

ABC SEMI Member
Other
Counselor
Website
SEMCA Student
Job Fair
Social Media
Magazine/Mailing

Yes I have read and agreed.:

Student Signature:

Date:

Submit

Southeast Michigan Construction Academy Application

PREFERENCES

What is your preferred school location (check all that apply)?

Madison Heights

Lapeer

Monroe

Adrian

Would you like to be added to the student job list? (please select one)

SEMCA offers its students job placement assistance; this does not guarantee employment. The Student Job List helps our unemployed students get their start in the construction industry and aids in putting their name out there for future employers. Please note that in order to be added to the student job list all SEMCA students must first submit a resume to Education@abcsemi.org

PERSONAL INFORMATION

Name:

Please select a trade:

Address:

City:

State:

Zip Code:

Cell Phone:

Email:

DOB:

Social Security Number:

Have you ever applied to the program before?

If yes, what year?

Have you completed any coursework in this program?

If yes, what course?

DEPARTMENT OF LABOR INFORMATION

What is your highest level of education?

Sex:

Race:

Do you have a disability?

Military Status:

If Veteran, Years Enlisted:

From:

ABC SEMI and SEMCA does not discriminate on the basis of sex, race, color, religion, national, or ethnic origin in administration of its educational policies, admissions policies, scholarship, loan programs or other school-administered programs.

The above information is requested for the use in apprenticeship statistical reporting, as requested by the Department of Labor, Bureau of Apprenticeship and Training, and may not be otherwise disclosed without the express permission of the individual listed below. (Privacy Act of 1974 - P.L. 93-579)

Name:

TUITION

We accept payment in the form of check, money order, Discover, Visa, American Express and Mastercard. Please make checks or money orders payable to “Construction Education Trust.” Checks and money orders can be mailed or delivered to 31800 Sherman Avenue, Madison Heights, MI 48071.

Go online to pay at abcsemi.org/constructionacademy/applyandpayonline
Questions regarding billing please email Billing@abcsemi.org

I am working in the trades

I am NOT working with the trade

If you are working in the trades, please complete the area below:

Company Name:

Company Phone Number:

Address:

City:

State:

Zip Code:

FORM OF PAYMENT

Self Pay

Company Pay

(Select one that applies)

Deducted from my paycheck

Paid in part by my company (i.e., less than 100%)

Paid in full by my company (i.e., 100%)

Reimbursed to me at the end of the semester/year

If your company pays all or some of your tuition, please provide the following information:

Company Contact Name:

Contact Email for Invoices:

STUDENT SIGNATURE NEEDED

REFUND POLICY
All refund requests must be submitted in writing. The tuition refund is solely based on the money received by the school after all application fees owed to the school are deducted. Refunds prior to the first class will result in a 100% refund of tuition only. After the first class, only 50% of tuition will be refunded. Thereafter all tuition and fees will be forfeited.

I understand that I am solely responsible for payment of tuition.
If an employer, family member, or other third-party payee agrees to pay my tuition, I will be responsible for giving the invoice to the person paying my tuition.
If an employer, family member, or other third-party payee agrees to pay my tuition, then at any point ceases that payment, I will be responsible for any unpaid balances.
I understand that if I drop the program I need to notify SEMCA in writing and I may still responsible for any unpaid tuition.
I understand that tuition is due before an apprenticeship card can be signed by SEMCA staff and that tuition is NOT refundable after I receive my apprenticeship card.

APPLICATION AGREEMENT

I understand that any false or misleading information furnished by me on this application or in connection with my application for apprenticeship may result in rejection of the application or termination from employment.
I agree to contact the SEMCA office for changes in: my employment, address, email or cell#.
I will notify the SEMCA office if I need an apprenticeship card.
I understand that if I withdraw or do not achieve academic progress, I will be withdrawn from the Dept of Labor database.
I agree to submit my workhours (OJT hours) on a regular basis, according to the directions I receive.
I agree to check my email weekly for SEMCA notices, schedules, school closings and notes from my instructor.
I agree to accept text messages from SEMCA (don’t worry-we’ll only send 1-2/month).
I allow SEMCA to take and use my picture for educational/marketing purposes.
I understand that this is not an application for employment and does not guarantee my placement into the apprenticeship program.

How did you hear about SEMCA (please check all that apply)?

ABC SEMI Member:

Other:

Counselor:

Website

Job Fair:

SEMCA Student:

Social Media

Magazine/Mailing

After submitting this application, all applicants must submit a copy of their driver’s license/state ID, Social Security card and high school diploma/transcripts/GED to Education@abcsemi.org

I HAVE READ AND AGREE TO ABIDE BY ALL STATEMENTS ABOVE

Student Signature:

Date:

Submit

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