Build It Green - Alameda County Green Home Construction Orientation Sign-up Form

First Name*

Last Name*

Company

Home Street address*

City*

State*

ZIP*

Phone Number with area code*

Email*

Male applicants born after December 31, 1959 only:

If you are a man born after December 31, 1959, you must be registered with the Selective Service or declared exempt to be eligible.

I am registered with the Selective Service.

I have been declared exempt from Selective Service registration

Do you have the following documents?*

You must bring proof of eligibility to work in the US to the orientation.

Proof of eligibility to work in the US

Proof of age (18 years or older)

Is your hourly income below $24.10?*

Yes

No

Are you in the green building industry?*

Yes

No

Do you have at least two years experience in the construction workforce?*

Yes

No

Are you a HERS rater?*

Yes

No

Are you a contractor?*

Yes

No

If yes, what is your Contractors State Licensing Board number?

If no, please list the name, phone number and email of a reference in the construction industry for whom you have worked.

Please don't forget to include the contact information for your reference.

Alameda County Green Home Construction Orientation Sign-up Form - August 10th