Laserfiche WebLink
00ESo.. <br />EEO SP Revised 07/12 <br />qO 2� <br />MINNESOTA DEPARTMENT OF TRANSPORTATION <br />�yroF TRN'yQ° ON-THE-JOB TRAINING PROGRAM <br />TRAINEE ASSIGNMENT <br />SP #: Location: District: <br />Project Engineer: Phone: ( ) <br />Prime Contractor: Phone: ( ) <br />Address: <br />City: State: Zip: <br />EEO Officer: Project Manager: <br />Tel: <br />Training Contractor: Phone: ( ) <br />Address: <br />City: State: Zip: <br />EEO Officer: Project Manager: <br />Tel: <br />TRAINEE <br />Job Title or Number of Training <br />Trade Classification: Hours on this Project: <br />Name: S.S.#: <br />Address: Phone: ( ) <br />City: State: <br />EEO Officer: Project Manager: <br />Tel: <br />Approximate Start Date: <br />Approximate Completion Date: <br />Is the trainee a member of a certified apprenticeship program? <br />If YES, verify with Apprenticeship Form or Indenture Number: <br />Zip: <br />1. Ethnic Background: Hispanic ; Black ; Asian/Pacific Islander ; White <br />Am. Ind/Alaskan (Verify with Tribal I.D. # or Affiliation ). <br />2. Male; Female; <br />EEO-5 Rev. 05/09 <br />EEO Page 23 <br />