Are you seeking: Full-TimePart-TimeTemporary

When Can you Start?

Gender ---MaleFemale

Racial Origin (Select All That Apply) ---WhiteAmerican Indian / Alaskan NativeBlack / African AmericanAsianNative Hawaiian / Other Pacific IslanderHispanic / Latino

First Name

Last Name

Middle Name

Current Address

City

State

Phone Number

Your Email

Have you applied here before? YesNo

Were you ever employed here? YesNo

Have you ever been certified or process a journeyman electrician license? YesNo

Have you passes an apprenticeship aptitude test given by an IBEW Local Union? YesNo

If yes, when and where?

Do you have a valid driver's license? YesNo

Driver's License Number

Class Of License

State Licensed In

Have you had your driver's license suspended or revoked within the last 3 years? YesNo

If yes, please explain: Please Explain

Which of the following phases of electrical installations have you performed? (Check All That Apply)

COMMERCIAL:
Commercial LightingFire Alarm InstallationTransformer InstallationMaintenance & Troubleshooting

RESIDENTIAL:
Single HousingCondosApartmentsHigh RisesResidential Service

INDUSTRIAL:
Power House WorkCable TrayElectronic ControlsPLC's

HVAC CONTROLS:
Cable Pulling/InstallCable Terminations

CONDUIT BENDING:
Rigid Conduit BendingEMT Conduit BendingHydraulic Conduit BendingHand Bending

SUPERVISION:
ForemanGeneral ForemanProject Management

MEDIUM VOLTAGE / LINE WORK:
SubstationsCable SplicingCable Pulling

VOICE/DATA/VIDEO:
Cable Pulling/InstallCable TerminationsFiber InstallationsSecurity Systems

Education (Provide the name and location of the institution attended and degree/diploma obtained):

Are you a U.S. Citizen and legally authorized to work in the United States?
YesNo

Have you ever been convicted of, or plead guilty to, a felony or misdemeanor? YesNo

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