ࡱ>  Wbjbj 4jj DDDDDXXXX$X)h0- ))))))) +-f)ED!!!)DD\)u(u(u(! DD)u(!)u(u(u(TFH! u()r)0)u(&0!@&0u(&0Du(!!u(!!!!!))5%@!!!)!!!!&0!!!!!!!!! : CR-1 (11/2025)NEW JERSEY DEPARTMENT OF TRANSPORTATION DIVISION OF CIVIL RIGHTS APPRENTICE / TRAINEE APPROVAL MEMORANDUMSECTION A: (TO BE COMPLETED BY CONTRACTOR)1.Project: FORMTEXT      2.Contractor: FORMTEXT      Subcontractor: FORMTEXT      3.Apprentice / Trainee Name: FORMTEXT      4.Social Security # (last 4 digits only) FORMTEXT      5.Training Position: FORMTEXT      6.Hourly Rate:$ FORMTEXT      7.Start Date: FORMTEXT      8.Program Hours FORMTEXT      9.Min. Available Hours: FORMTEXT      10.The candidate is a(n)  FORMCHECKBOX  Apprentice (USDOL Registration Date) FORMTEXT       FORMCHECKBOX  Trainee and  FORMCHECKBOX  does FORMCHECKBOX  does nothave construction experience.11.Check all work categories that the apprentice / trainee has experience in: FORMCHECKBOX  Carpentry FORMCHECKBOX  Electrical FORMCHECKBOX  Ironwork FORMCHECKBOX  Operating Engineer FORMCHECKBOX  Asphalt FORMCHECKBOX  Drilling FORMCHECKBOX  Finishing FORMCHECKBOX  Formsetting FORMCHECKBOX  Grading FORMCHECKBOX  Landscaping FORMCHECKBOX  Pipelaying FORMCHECKBOX  Powertools FORMCHECKBOX  Truck Driving FORMCHECKBOX  Other12.If any items above are checked, complete table below:Work CategoryLength of TimeEmployer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT         "$&(*,.|~   ` b d h j z | ~ ڼڼu`````(jh:h)ZOJQJUmHnHu#jyh:h'8OJQJUh:h)ZOJQJjh:h'8OJQJUh:h03OJQJh:hzE>*CJOJQJaJ h:hzEh:hzE5CJOJQJaJ h:h?nh:hzEOJQJhdCJOJQJaJh:hzECJOJQJaJ% "$&(*, $Ifgdm,.~:... $$Ifa$gd:kd$$Iflִ\ 5:!";,]@ } t;,    44 layt:  b kb $IfgdmDkd$$IflzP+P+ t;,44 layt: $$Ifa$gd:Dkd$$IflP+P+ t;,44 layt:b d j | <jkd$$IflhF. 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Y Y d t;,44 layt:|}~ .02NPRTs#jh:h'8OJQJU#j.h:h'8OJQJU#j@h:h'8OJQJU#jh:h'8OJQJU#jTh:h'8OJQJU#jh:h'8OJQJUjh:h'8OJQJU h:h03h:h03OJQJ-}~of]]]] $Ifgd03 $Ifgdmkdf$$Iflhr.:  P+. Y Y d t;,44 layt:0bdfof]]]] $Ifgd03 $Ifgdmkd$$Iflhr.:  P+. Y Y d t;,44 layt:T`bdfhlnp*,.02FHJLNPRTVXZnprtvxz|~̺ץ̓ץ́ץ#jh:h'8OJQJU#j"h:h'8OJQJU(jh:h)ZOJQJUmHnHu#jh:h'8OJQJUh:h)ZOJQJjh:h'8OJQJUhdzvOJQJ h:h03h:h03OJQJ2fhpocZ $Ifgd03 $$Ifa$gd:kd$$Iflhr.: B P+. d t;,44 layt:, $$Ifa$gd: $IfgdmWkd$$Ifly0.P+.") t;,44 layt:,.0Xymmm $$Ifa$gd: $Ifgdm}kd$$Iflh\.XP+.   t;,44 layt:PPPPPPPP P"P$P&P(P*P>P@PBPܿܿܿܿu#jh:h'8OJQJU#jh:h'8OJQJUU#jh:h'8OJQJU#jh:h'8OJQJUh:h)ZOJQJ h:h03h:h03OJQJjh:h'8OJQJU(jh:h)ZOJQJUmHnHu.$Pymmm $$Ifa$gd: $Ifgdm}kd$$Iflh\.XP+.   t;,44 layt:FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      13.Is the apprentice / trainee a union member? FORMCHECKBOX  Yes FORMCHECKBOX  No# of Years FORMTEXT      Union Name: FORMTEXT      Location: FORMTEXT      Local # FORMTEXT      14.Apprentice / Trainee Address: FORMTEXT      City: FORMTEXT      State: FORMTEXT    ZIP Code FORMTEXT      Telephone #( FORMTEXT    )  FORMTEXT      Signature15.As the Contractor s Representative, I certify the above is correct to the best of my knowledge.Name: FORMTEXT      Title: FORMTEXT      Signature:Date: FORMTEXT      SECTION B: TO BE COMPLETED BY DIVISION OF CIVIL RIGHTS PERSONNEL ONLY. 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