IBEW LOCAL 270 APPLICATION FOR MEMBERSHIP
(applications are only valid for 90 days)
Date
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Month
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Day
Year
Name
*
Prefix
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Social Security Number
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Are you a citizen of the United States?
*
Place of birth (city & state)
*
Have you served in the Military? If so, which branch and type of discharge?
*
Which classification/position are you applying for?
*
Please Select
Journeyman Wireman
Residential Wireman
CW/CE
Residential Wireman
Comm. Tech.
Senior Com. Tech.
Journeyman Lineman
Equipment Operator
Groundman
Substation Tech
Have you ever passed a Journeyman examination? If so, list where and the date you took the test.
*
Have you ever been a member of the IBEW? If so, please list the Local, card number and reason for leaving.
*
Have you ever been in an IBEW JATC Apprenticeship?
*
Are you a high school graduate or do you have your GED?
*
Have you attended a trade school? If so, list major area of study, highest level completed, name and location of the school.
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Have you attended an apprenticeship program? If so, did you complete the program? Please list the name of the program, the dates you attended and completion date.
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How many years of actual Construction electrical experience do you have?
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Please list the name of your current employer, Job title, dates of employment, current hourly pay rate and a description of job duties.
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Please list all electrical contractors you have worked for and your dates of employment.
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Please list any and all electrical experience (wire pulling, fire alarm, cable splicing, etc)
*
Where you referred by anyone? If so, please list their name below.
Please list 3 personal references and their contact information below.
Please attach your resume and any training certifications below.
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By signing this application, I affirm that all statements made by me are true, complete, and correct to the best of my knowledge.
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