IBEW LU 379 Job Application

IBEW Local Union 379

Application for Employment
Your Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Gender *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Email *
example@example.com
Your Home Number
Your Cell Number *
Which of our (3) office location are closest to you?
More about you...
Are you a citizen of the United States? *
Have you ever worked for the IBEW?
If Yes, explain
Education
Resume and or any certificates like (OSHA, First Aid-CPR, NFPA 70-E)

Cancel of
Leisure interests
How many years of electrical experience do you have? *
What type of electrical experience do you have? *

Commercial Industrial Residential VDV Lineman Groundman Transmission Underground Operator
Military Service
Branch
Date Started
Date Discharged
Rank at Discharge
Type of Discharge
If other than honorable explain:
Previous Employment Details
Current or Last Company Name *
Date Hired *
Date Left *
Reason for Leaving *
Second to last Employer Company Name
Date Hired
Date Left
Reason for Leaving
Working Conditions
Please check the boxes that apply to you *

Can you pass a Drug test? Do you have reliable transportation? Can you work days? Can you work nights? Can you work weekends? Do you have a OSHA 10 or 30 card within the last 3 years? Do you have a NFPA70-E card? Do you have a First Aid-CPR card? Do you have a Contractors Electrical License?
Please sign here stating that all information provided is to the best of your knowledge true *

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IBEW Local Union 379