National Apprenticeship Week Registration Forms

Department of Labor Generic Clearance for Outreach Activities

NAW_forms_2021_07212021

National Apprenticeship Week Event Registration Forms

OMB: 1225-0059

Document [pdf]
Download: pdf | pdf
Register Your Event

Please complete the form below to register your event for National Apprenticeship Week. Questions? Email us at
[email protected].

Contact Information

Contact Full Name
Contact Email

Organization Name

Event Information

Event Name

Event Website

(Example: Facebook event page, Eventbrite, website

Event name must be 80 characters or less
[ https://
.____________________
_
__,

URL)

Event Description

(Short description of the event, who should attend
the event, why, and how to participate.)

Event Type

Please choose "public" if your event is open to the
general public, or "private" if your event is closed to
the general public.

Virtual Event

Please choose 'yes" if your event is hosted virtually or
"no" if your event is Jive in-person.

Targeted Population(optional)

Please select all that apply.
Start Date

Event description must be 1000 characters or less

I

Please select ...

Please select ...
I'-----------------------'
Dislocated Workers
Individuals with Disabilities
People of Color
Transitioning from Incarceration

. ...

,

Please enter the date on which your event starts.
End date

Please enter the date on which your event ends.
Start time

End time
Timezone

Please select the timezone for your event.

Eastern Time
Central Time
Mountain Time
Pacif ic Time
'

'

-·

Event Location

(If this is a virtual event, please include your organization's street address)
Street Address
City
State
Zip code

I-

Select -

Number of expected attendees
Are there any notable guests attending your event?

Please select all that apply.
Your industry(s)

Please select all that apply.
Opt-in

Governor
Mayor or other city officials
Senator
Congressperson

.

'

-

'

Advanced Manufacturing
Construction
Cybersecurity
Energy
. ' _,
......

•
Lo

0 I agree

By submitting this form, you are agreeing to receive
additional news, information and communications
from the Department of Labor. You are also providing
permission to the Department of Labor to publish
information about your event on the National
AP-P-renticeshiP- Week webP-age.

SUBMIT
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid 0MB control number. Public reporting burden for this
collection of information is estimated to average 5 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. The obligation to respond to this collection is voluntary. Send
comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the U.S. Department of Labor, Office of the Chief Information Off icer,
Attention: Departmental Clearance Officer, 200 Constitution Avenue, N.W., Room N-1301, Washington, DC
20210 and reference the 0MB Control Number. Note: Please do not return the completed web application to
this address.

Submit Your Proclamation
Please complete the form below to submit your proclamation for National Apprenticeship Week. Questions? Email us
at NationalAP-1;[email protected].

Contact Information
Contact Full Name
Contact Email
Point of Contact Phone

Proclamation Information
Proclamation Issued On
Name of Signatory/Signatories

Include the individual, individuals, or government
entity (Council, Cornrnittee, etc.) that issued the
proclamation.
Street Address

Enter the street address for the government office
that issued the proclamation so this proclamation
can be included on our interactive map.
City
State

I-

Select

Zip Code
Link to Digital Copy of Proclamation

If this proclamation has been posted on a website
for rnembers of the public to view it, please enter the
URL here. The Department of Labor will not be able
to display a visual of your proclamation without the
URL provided via this form.
Opt-in

0 I agree
By submitting this form, you are agreeing to receive
additional news, information and communications
from the Department of Labor. You are also providing
permission to the Department of Labor to publish
information about your event on the National
AP-RrenticeshiR Week webP-age.

SUBMIT

Update Your Event or Proclamation
Use the form below to request changes to a previously submitted event or proclamation for National Apprenticeship
Week. Edits will only be accepted from the person who originally submitted the event or proclamation. Questions?
Email us at NationalA1:u�[email protected].

Contact Information
Your Full Name
Your Email
Please Update My

I

I

I Select Option

Name of Your Event/Proclamation
Please describe what you would like changed on
your event/proclamation listing

(Please provide as much detail as possible to ensure
an accurate update on the map.)

By submitting this form, you are agreeing to provide permission to the U.S Department of Labor to publish
information about your event on the National AP-P-renticeshiP- Week webP-ag�.

SUBMIT

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless such collection displays a valid 0MB control number. Public reporting burden for this collection of
information is estimated to average 5 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. The obligation to respond to this collection is voluntary. Send comments regarding the burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the
U.S. Department of Labor, Office of the Chief Information Officer, Attention: Departmental Clearance Officer, 200
Constitution Avenue, N.W, Room N-1301, Washington, DC 20210 and reference the 0MB Control Number. Note:
Please do not return the completed web application to this address.

Share Your Event Highlights!
Please complete the form below to share highlights from your completed National Apprenticeship Week (NAW) event.
We may use your information or reference your event to celebrate the success of NAW. Questions? Email us at
NationalAi:ii:irenticeshii:[email protected].

Contact Information
Contact Full Name
Contact Email
Organization Name

Event Information
Event Name
Event name must be 80 characters or less

Start Date
End date

Event Highlights
Number of Attendees
Notable Event Guests
Please select all that apply.

Governor
Mayor or other city officials
Senator
Congressperson

.

'

L

'

Description of Events
Please note aspects of your event that you would like
to highlight.

Description of Events must be 1000 characters or less

Photos
Please share websites or link to a folder that displays
photos, if applicable, or leave this field blank and
email photos directly
to [email protected] with
captions. (Enter one URL per line)

SUBMIT

fi


File Typeapplication/pdf
File Modified2021-07-21
File Created2021-07-06

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