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The Arkansas Electrician Application form is a crucial document for anyone looking to obtain or renew an electrician's license in the state. Complete details must be provided, including personal information such as name, address, and social security number, alongside specific selections related to the type of license being sought—be it Master, Journeyman, or Temporary, among others. Applicants will need to detail their work experience by listing current and previous employers along with descriptions of the electrical work performed, so be prepared to back that up with notarized verification letters. If applicable, educational experiences must also be documented, allowing for both formal training and military experience in electrical wiring to be considered for licensure. The form requires careful attention to ensure all relevant sections are filled out and supporting documents are attached, such as copies of existing licenses and transcripts of education. Failing to provide accurate and complete information could delay processing or even result in the rejection of the application.

Ar Electrician Application Example

ARKANSAS BOARD OF ELECTRICAL EXAMINERS

ARKANSAS DEPARTMENT OF LABOR

10421 West Markham, Little Rock, AR

72205-2190

Phone: 501-682-4549 Fax: 501-682-1765

TRS: 800-285-1131

http://www.arkansas.gov/labor/divisions

THIS APPLICATION MUST BE FILLED OUT COMPLETELY

CHECK APPROPRIATE BOXES: (1) ❑ Master

(2)

Examination

Residential Master

 

Reciprocal

Journeyman

 

Temporary

Residential Journeyman

Industrial Maintenance

Air Conditioning Electrician

Specialist Sign Electrician

Date _______________________

Name ______________________________________________ Age _____ Date of Birth ___________

LastFirstMiddle

Residence Address ___________________________________________________________________

StreetCityStateZip Code

Mailing Address ______________________________________________________________________

Street

City

State

Zip Code

Social Security # _________________________________

County ___________________________

Home Phone # (________)___________________ Other Phone # (________)___________________

Arkansas Code Annotated §17-1-104 (Repl. 2001) requires the Electrical Division to transfer name, address, and social security number information on applicants to the Office of Child Support Enforcement. Social security numbers shall otherwise be maintained in a confidential manner as required by this statute.

Have you previously made application for examination with this Board? No Yes, Date: __________

Have you ever held an electrician's license? No Yes, If so, where _______ License # ___________

(submit photocopy)

License type and level ___________________ Original issue date ___________ Valid until _________

Was the license issued by examination? No Yes Exam Date_________________

What testing firm administered the examination: __________________________ Exam Score _______

Have you ever had an electrician's license revoked? No Yes

If Yes, by whom and for what reason? ___________________________________________________

Have you attended an apprenticeship school? No Yes If Yes, number of semesters _______

If Yes, where? ______________________________________________________________________

Apprenticeship Registration/License Number ______________________________________________

AR Electrician Application Form.doc Rev. 07/2009

Page 1 of 5

INSTRUCTIONS FOR LISTING WORK EXPERIENCE AND TRADE-RELATED EDUCATION

PLEASE READ CAREFULLY

Please complete PART I and PART II in detail.

PART I - WORK EXPERIENCE (See Page 3)

The Arkansas Board of Electrical Examiners may contact your present or previous employers to verify your work experience as stated herein.

Verification of employment must be provided by NOTARIZED original letters (not photocopies) or by Affidavit of Employment Experience (see Page 5) from previous or current employers. The verification must include exact employment dates and the exact type of electrical work performed.

Your qualifications will be determined on the basis of information provided by you on this application. It must be factual, clear and complete. Use additional sheets if necessary.

Provide photocopies of any electrical licenses you presently hold or have previously held.

If you have Supervision experience and/or were the Owner of an electrical contracting company, you may attach additional information to your application. You should submit a NOTARIZED letter describing your work experience along with a copy of your advertisement in the telephone directory, a copy of your business stationary, a list of jobs contracted by your company, a photocopy of any state or city business license(s), and any other documents supporting the length of time you have been in business.

PART II - TRADE RELATED EDUCATION AND FORMAL INSTRUCTION (See Page 4)

Read carefully the descriptions of the three classifications of education or instruction listed below. Then turn to Page 4 and, in the space provided, give the information requested. Make your answers as complete and clear as possible. A transcript of credits must be submitted to receive credit for school time.

1.Formal Apprentice Training: If you have been employed by an employer with an approved electrical apprentice training program, list the program and the dates that you were enrolled. If completed, attach a copy of the completion certificate. Requests for acceptance of apprenticeship training must be accompanied by a “Release for Test” form signed by the apprenticeship program and the Arkansas Department of Career Education.

2.Electrical Engineer: A degree in electrical engineering plus two (2) years experience will be accepted for application for a master examination.

3.Military Training in Electrical Wiring. Show in detail exactly what kind of training, schooling, or work experience you received directly related to wiring for installing and repairing electrical apparatus and equipment for light, heat and power. Include the length of time spent and any other information that will assist in evaluating the degree of electrical experience that you have had in construction in this classification.

Submit the application and all supporting documentation to:

ARKANSAS BOARD OF ELECTRICAL EXAMINERS ARKANSAS DEPARTMENT OF LABOR

10421 WEST MARKHAM LITTLE ROCK, AR 72205-2190

AR Electrician Application Form.doc Rev. 07/2009

Page 2 of 5

PART I – WORK EXPERIENCE

LIST PRESENT AND PREVIOUS EMPLOYERS.

 

 

DATES EMPLOYED

 

EMPLOYER INFORMATION

 

FROM

TO

Type of

 

 

Mo/Day/Yr

Mo/Day/Yr

Electrical Work Performed

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

Name of Company

 

 

 

 

Street Address

 

 

 

 

City/State/Zip

 

 

 

 

Employer Phone Number (

)

 

 

 

AR Electrician Application Form.doc Rev. 07/2009

Page 3 of 5

PART II – TRADE RELATED EDUCATION AND FORMAL INSTRUCTION:

1. FORMAL APPRENTICE TRAINING PROGRAM:

NAME OF PROGRAM /SCHOOL AND COURSE:

DATES: Started /

CREDIT

Completed

HOURS

 

 

 

DAYS

PER WK

HRS/

DAY

2.EDUCATION - VOCATIONAL OR TRADE, CORRESPONDENCE, COLLEGE:

A transcript must be included with the application.

NAME OF SCHOOL AND COURSE:

DATES: Started /

CREDIT

Completed

HOURS

 

 

 

DAYS

PER WK

HRS/

DAY

3.MILITARY TRAINING (Submit photocopy of your DD-214 form)

Military training or experience in electrical work must be detailed and submitted for evaluation with the application.

NAME OF SCHOOL AND COURSE:

DATES: Started /

CREDIT

Completed

HOURS

 

 

 

DAYS

PER WK

HRS/

DAY

I HEREBY STATE THAT THE INFORMATION CONTAINED IN THIS APPLICATION, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. I AGREE TO ABIDE BY ALL RULES AND REGULATIONS OF THE ARKANSAS BOARD OF ELECTRICAL EXAMINERS.

(PLEASE NOTE: FAXED COPIES ARE NOT ACCEPTED)

__________________________________

_____________________________________________

Date

Signature of Applicant

AR Electrician Application Form.doc Rev. 07/2009

Page 4 of 5

Mike Beebe

James Salkeld

Governor

STATE OF ARKANSAS

ARKANSAS DEPARTMENT OF LABOR

ARKANSAS BOARD OF ELECTRICAL EXAMINERS

10421 WEST MARKHAM • LITTLE ROCK, AR 72205-2190

Phone: 501-682-4549

Fax: 501-682-1765

TRS: 800-285-1131

Director

AFFIDAVIT OF EMPLOYMENT EXPERIENCE

TO: Arkansas Board of Electrical Examiners

Applicant Name:

Dates of verification (mm/dd/yyyy) :

From:

 

To:

 

 

Amount of hours in each type of work:

Residential:

 

 

Hours

 

 

Commercial:

 

 

Hours

 

 

Industrial Construction:

 

 

Hours

 

 

Industrial Maintenance:

 

 

Hours

 

 

Sign Specialist:

 

Hours

 

 

TOTAL HOURS:

 

 

 

Work listed above was performed under the supervision of:

Master Electrician:

 

 

License Number:

 

Company Name:

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

City:

 

State:

 

Zip:

 

Phone:

 

Fax:

 

 

 

 

Description of Applicant’s job duties:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I state under oath the above and foregoing employment history is true and correct to the best of my knowledge and belief.

_____________________________________

Employer's Signature

Subscribed and sworn to before me this

______ day of ______________, 20_______.

_______________________________

Notary Public

Employer's Name ( please print or type)

Company

License Number or Title

A separate affidavit must be furnished for each employer listed on the license application.

(Photocopy this form as needed.)

AR Electrician Application Form.doc Rev. 07/2009

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Form Characteristics

Fact Name Details
Governing Laws The application is governed by the Arkansas Code Annotated §17-1-104 (Repl. 2001).
Filling Instructions Applicants must fill out the form completely, including all necessary sections and check all applicable boxes.
Verification Requirements Notarized letters or affidavits from employers are required to verify work experience.
Apprenticeship Details Information regarding apprenticeship, including program details, must be provided if applicable.
Education Acceptance Degrees in electrical engineering and military training related to electrical work are accepted for application.
Social Security Information Social security numbers will be shared with the Office of Child Support Enforcement as mandated by law.
Signature Requirement The application requires the applicant's signature, confirming the truthfulness of the information provided.

Guidelines on Utilizing Ar Electrician Application

Once you have gathered all necessary information and documentation, you can begin filling out the AR Electrician Application form. Completing this form accurately is crucial, as it will determine your eligibility for the electrician licenses you are seeking. Below are the steps to guide you through the process.

  1. Start by marking the appropriate box for the type of electrician license you are applying for at the top of the form.
  2. Fill in the date of your application in the designated space.
  3. Provide your full name—last, first, and middle—along with your age and date of birth.
  4. Enter your residence address, including street, city, state, and zip code.
  5. If different from your residence, fill in your mailing address, including street, city, state, and zip code.
  6. Input your Social Security number and the county where you reside.
  7. List your home and alternative phone numbers.
  8. Indicate whether you have previously applied for an examination with the Board and, if so, provide the date.
  9. Answer if you have ever held an electrician's license. If yes, state where, include the license number, type and level of the license, original issue date, and validity period.
  10. Check if your license was obtained by examination and provide the exam date and name of the testing firm, as well as your exam score.
  11. State if you have ever had an electrician's license revoked and provide details if applicable.
  12. Indicate whether you attended an apprenticeship school. If yes, list the number of semesters attended and the location.
  13. Attach photocopies of any current or previous electrician licenses you hold.
  14. Complete Part I by listing your work experience under the specified employers, including dates employed and types of electrical work performed. Provide notarized verification letters or affidavits from your employers for this experience.
  15. Complete Part II to document your trade-related education. Provide details on formal apprenticeship programs, vocational or trade schools, and military training relevant to electrical work.
  16. Sign and date the application to affirm the truthfulness of the information provided.

Once completed, submit your application along with any supporting documents to the Arkansas Board of Electrical Examiners at the address listed on the form. Ensure that all materials are accurate to avoid delays in processing your application.

What You Should Know About This Form

What is the AR Electrician Application form used for?

The AR Electrician Application form is necessary for individuals looking to obtain or renew an electrician's license in Arkansas. This form collects essential information about the applicant, including their work experience, education, and personal details needed for the licensing process.

Who needs to submit this application?

Anyone wishing to become a licensed electrician in Arkansas must submit this application. This includes applicants for various license types such as Master, Journeyman, and Residential Master, among others. If you have an out-of-state license and want to work in Arkansas, you'll also need to complete this application.

What information do I need to provide on the application?

You will need to provide your full name, address, contact numbers, Social Security number (which will be handled confidentially), and details about your work experience and education. Specific questions about previous licenses and any disciplinary actions taken against you must also be answered.

Are there any documentation requirements for the application?

Yes, the application requires verification of your work experience through notarized letters from previous employers or affidavits. You must also include photocopies of any current or past electrician licenses and educational transcripts if applicable. Supporting documents such as certificates from apprenticeship programs may also be necessary.

How long does it take to process the application?

The processing time can vary based on the volume of applications the Board receives. Generally, you can expect a few weeks for processing. It is advisable to submit your application well in advance if you are planning to take an exam or start a new job.

Can I submit the application via fax?

No, faxed copies of the application are not accepted. You must submit the original application with all supporting documents included, ensuring that it is legible and complete.

What if I have previously applied for the examination?

If you have previously applied for the examination, you need to indicate that on the application form. You will also provide the date of your past application to help the Board verify your previous records.

Is there an application fee?

Yes, there is typically an application fee associated with processing your electrician’s license application. The fee amount can vary depending on the type of license for which you are applying. You can find specific fee information on the Arkansas Department of Labor website or by contacting the Board directly.

Where should I send my completed application?

Your completed application, along with all required documentation and fees, should be mailed to the Arkansas Board of Electrical Examiners at the following address: 10421 West Markham, Little Rock, AR 72205-2190.

Common mistakes

When filling out the Arkansas Electrician Application form, people often overlook critical details that can lead to delays or rejections. One common mistake is failing to complete all sections of the application. The form explicitly states that it must be filled out completely. Missing information, such as age, work experience, or education, can result in an incomplete application.

Another mistake is not providing the correct verification of employment. The application specifies that verification must be supplied through notarized original letters or an Affidavit of Employment Experience from employers. Some applicants mistakenly submit photocopies or fail to include this verification altogether, which can lead to issues in processing the application.

People sometimes forget to attach important documentation, such as photocopies of any electrical licenses held previously. The application requests these documents to evaluate an applicant’s qualifications thoroughly. Failing to include them may delay the review process or lead to outright rejection.

Additionally, applicants often misinterpret the requirements for listing work experience. The application asks for specific details, including employment dates and the exact type of electrical work performed. Providing vague information can make it difficult for the Board to assess experience accurately.

Not thoroughly explaining educational background can also be a setback. For instance, if an applicant has undergone formal apprentice training or has military training related to electrical work, this information should be documented clearly. Submitting incomplete or unclear educational details could cause confusion and impact eligibility.

Furthermore, not checking off the appropriate boxes at the start of the application is a common oversight. Applicants should ensure they select the correct category under which they are applying, as this informs the Board of the specific license or examination sought.

Lastly, people tend to forget to sign and date the application. A signature is required to confirm that the information provided is accurate to the best of the applicant’s knowledge. Neglecting this simple step can render the application invalid and lead to unnecessary delays in licensing.

Documents used along the form

When completing the Arkansas Electrician Application form, several other forms and documents may be necessary. Each of these plays a crucial role in verifying qualifications and ensuring compliance with state regulations. Below is a list of commonly used documents associated with the application process.

  • Affidavit of Employment Experience: This document verifies the applicant's work history. It must include details on the types of electrical work performed and the supervision received. An employer must sign and notarize this document.
  • Proof of Electrical Licenses: Applicants must provide photocopies of any current or previously held electrician licenses. This helps demonstrate the applicant's qualifications and any previous certifications.
  • Completion Certificates for Apprentice Training: If the applicant has completed an approved apprenticeship program, a certificate confirming completion must be submitted. This certificate verifies the training received.
  • Official Transcripts: For education-related claims, such as vocational training or a degree in electrical engineering, applicants need to submit official transcripts. This documentation helps validate educational credentials.
  • Business Documentation (if applicable): Those who owned or operated an electrical contracting company should provide supporting materials. Examples include business licenses, advertising copies, and contracts showcasing work done.
  • Military Training Documentation: Applicants with military experience in electrical work need to provide details of their training. The DD-214 form must be included to support claims about related skills.
  • Release for Test Form: If apprenticeship training is claimed, this form must be signed by the apprenticeship program administrator and the Arkansas Department of Career Education. It grants permission for the acceptance of the apprenticeship training.
  • Notarized Letters from Employers: In addition to the affidavit, original notarized letters from previous employers may be required. These letters should detail employment dates and specific types of work undertaken.

Collectively, these documents ensure a thorough review of the applicant's credentials. Completing the application accurately with all necessary supporting documents helps streamline the licensing process and enhances the likelihood of approval.

Similar forms

  • Job Application Form: Like the Ar Electrician Application, a job application requires personal details, employment history, and references to ensure the applicant meets qualifications for a specific position.

  • Apprenticeship Application: This document is similar in that both require information about past training and work experience, often needing verification from employers or training programs.

  • License Renewal Application: Both forms ask for personal identification and work experience, as well as any changes in employment status since the last application or renewal.

  • Professional Certification Application: This application shares a focus on verifying qualifications, including the need to submit proof of education and experience relevant to the certification.

  • State Board Examination Application: Similar in structure, this application seeks detailed educational and work experience information relevant to the examination being requested.

  • Background Check Form: Both forms require information about previous employment and may ask for similar personal details to conduct a comprehensive background evaluation.

  • Continuing Education Registration: This document captures educational credentials and courses taken, paralleling the educational requisites outlined in the Ar Electrician Application.

  • Employment Verification Letter: Similar to the affidavits required in the Ar Electrician Application, this document provides evidence of employment history and job responsibilities, supporting professional licensing or applications.

Dos and Don'ts

When filling out the Arkansas Electrician Application form, consider the following do's and don'ts:

  • Do: Fill out all sections of the application completely. Incomplete applications may cause delays.
  • Do: Provide accurate and clear information regarding your work experience and education.
  • Do: Submit notarized letters for employment verification. Photocopies are not acceptable.
  • Do: Include all necessary supporting documents, such as transcripts and copies of licenses.
  • Don't: Ignore the instruction to check appropriate boxes. This may lead to misunderstandings.
  • Don't: Provide false information. Doing so can result in application denial.
  • Don't: Forget to sign and date your application. An unsigned application will not be processed.
  • Don't: Send faxed copies of documents; they are not accepted.

Misconceptions

Misconception 1: The application form is too complicated to complete.

While it may seem overwhelming at first glance, the AR Electrician Application form is structured to gather necessary information systematically. Follow the provided instructions carefully, and don’t hesitate to use additional sheets if needed.

Misconception 2: A previous electrician's license is not important for the application.

This is not true. If you have held an electrician's license before, you must provide details about it, including the license type and your exam date. It helps validate your experience and skills, crucial for your application.

Misconception 3: Notarized documents aren't necessary.

Verification of past employment must be provided through notarized original letters or affidavits. This requirement ensures that the information submitted is reliable and accurately reflects your experience.

Misconception 4: You can submit the form without supporting documents.

This assumption is incorrect. Your application must include all necessary supporting documentation, such as copies of licenses and transcripts, to provide a complete picture of your qualifications.

Misconception 5: All information can be submitted electronically.

The Arkansas Board of Electrical Examiners does not accept faxed copies of applications. It’s essential to submit your application through mail to ensure it meets their requirements.

Misconception 6: Military training doesn’t count for trade experience.

In fact, military training in electrical wiring can qualify as relevant experience. You need to detail this training properly in your application, complete with documentation.

Misconception 7: Filling out the application accurately doesn't matter.

Accuracy is paramount. The Board may contact your previous employers to verify the work experience stated. Inaccuracies can lead to delays or even rejection of your application.

Misconception 8: You can list work experience without providing specific details.

Generic descriptions will not suffice. Be precise about your job duties and the type of electrical work performed to clearly establish your qualifications.

Misconception 9: You can rush through the application process.

Taking your time with the application can benefit you significantly. Careful preparation ensures that you submit a complete and accurate application, improving your chances of approval. Remember, this is a step towards your career advancement!

Key takeaways

Understanding the AR Electrician Application form is essential for a smooth application process. Here are ten key takeaways to consider:

  • The application must be filled out completely and accurately; incomplete forms may lead to delays.
  • Appropriate boxes must be checked for the type of electrician license sought, including options like Master, Journeyman, or Temporary.
  • Verification of work experience is mandatory. It requires notarized original letters or affidavits that outline the specific employment details.
  • It is important to provide verification that includes exact employment dates and types of electrical work performed.
  • Support your application with photocopies of any current or previous electrical licenses held.
  • Detailed descriptions of trade-related education must be provided, and a transcript of credits is necessary to receive proper credit for schooling.
  • Military training in electrical work may qualify for consideration, but must be fully documented within the application.
  • Ensure that all personal information, such as your social security number, is accurate to comply with legal requirements.
  • An applicant's signature is required, affirming that the information provided is true and correct.
  • Faxed copies of the application will not be accepted, so submit the application and all supporting documents via mail.

Complying with these guidelines will assist in achieving a successful application process for an electrician license in Arkansas.