Join the Workforce PERSONAL INFORMATIONName* First Middle Last # of years in the Electrical Industry* No experience Under 2 years 2-4 years 4-6 years 6+ years Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneMobile Phone*Email Address* Date of Birth* MM DD YYYY Last 4 digits of SSN*Veteran or Active Military* Yes No If yes, what branch of service? Army Navy Marines Coast Guard Air Force Other Other BranchDriver's License/ID*Do you have reliable transportaion?* Yes No EDUCATIONSelect all that apply* High School/GED Vocational/Trade School Some College College Degree Apprenticeship Other Diploma/GED Received?* Yes No College (Name)College (Location)City, StateCollege (Years Attended)Ex. 2002-2006College Degree Earned Associates Bachelors Masters Doctorate Degree MajorVocational/Trade School (Name)Vocational/Trade School (Location)City, StateVocational/Trade School (Years Attended)Ex. 2002-2004Vocational/Trade School (Subjects Studied)Ex. HVAC, welding, etc.Apprenticeship Program (Name)Apprenticeship Program (Location)Did you complete the Apprenticeship Program Yes No Graduation YearApprenticeship Program (Years Attended)Ex. 2000-2004DescriptionELECTRICAL EXPERIENCECurrent Status:* Master Journeyman/Mechanic Low-Voltage Technician Apprentice Helper/Laborer Other DescriptionMD Electrical License NumberMD Electrical License NumberMD Electrical License NumberLicense Expiration DateLicense Expiration DateLicense Expiration DateType of work* Residential Commercial Industrial Low Voltage/Telecomm No experience Current Rate of Pay*$0.00Active License Master Journeyman Apprentice Other DescriptionSkills*Check all that apply OSHA 10 OSHA 30 Blueprints Conduit Bending Motor Controls Temperature Control/Building Automation Cable Splicing Sign Work Telecommunication Security/Access Control Instrumentation Fire Alarm Solar Romex Installation MC Cable Installation Cable Tray Installation Switchgear Device and Fixtures Wall Layout/Rough in Underground Raceway Maintenance Troubleshooting Equipment Testing Utility/Substation Generators Other DescriptionConduit Type EMT IMC RIGID PVC Nicet Certified Yes No Positions Held*Check all that apply Select All Project Manager Estimator Superintendant General Foreman Foreman Lead/Sub-Foreman Journeyman/Mechanic Low-Voltage Technician Apprentice Helper/Laborer WORK HISTORYPlease list your employers for up to the last 10 years starting with your current or most recent. 1.Contractor* Current/Most Recent Contractor Name*Duration of Employment*Job Title*Work Performed*Rate of Pay*$0.002.Contractor Previous Contractor NameDuration of EmploymentJob TitleWork PerformedRate of Pay3. Contractor Previous Contractor NameDuration of EmploymentJob TitleWork PerformedRate of Pay4.Contractor Previous Contractor NameDuration of EmploymentJob TitleWork PerformedRate of Pay5.Contractor Previous Contractor NameDuration of EmploymentJob TitleWork PerformedRate of PayUNION AFFILIATIONHave you ever been a member of the IBEW, or any other union?* Yes No What Union and Local #?*What was Your Reason for Leaving?*Have You Ever Applied to Local 24 in the Past?* Yes No What Year?Ex. 1998How Did You Hear About Local 24? Radio Indeed Word of Mouth Social Media Web search Existing Member Other If Existing Member, What is Their Name?DescriptionConsent* I understand that all references will be discretely verified and all information submitted is accurate to the best of my knowledge.CAPTCHAUntitledPhoneThis field is for validation purposes and should be left unchanged.
