Transcription of Construction Industries Board
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Construction Industries Board
Revised Dec 2017 1 Construction Industries Board 2401 23rd Street, Suite 2F Oklahoma City, OK 73107 Telephone: (405) 521-6550 Website: APPRENTICE APPLICATION (Please Print) TRADE: Choose one Plumbing Electrical Mechanical Name Birthdate / / Last First Middle Mailing Address SSN City State Zip Telephone Are you a Citizen? YES NO (If no, please provide Immigration Document) Applicant s signature Date The licensed contractor with whom you are employed must complete the following: Firm Name Address City State Zip Telephone Contractor s name License # (as printed on state license) Contractor s signature Ctrl
the Oklahoma Construction Industries Board are required, by the provisions of 56 O.S. § 71, to provide the Board with verification of lawful presence in the United States by executing the Affidavit shown below before a notary public or other officer authorized to notarize affidavits under State law. The Board’s licensing office is staffed with
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