IW 623 Union Application

Application for Membership

Ironworkers Local Union 623
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Last 4 of SSN*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState

Zip Code
EMPLOYMENT HISTORY
1) Company
Job Title
Dates of Employment (Month/Year to Month/Year)
Please enter your beginning end ending employment dates
Responsibilities
Describe your work
Reason for leaving
2) Company
Job Title
Dates of Employment (Month/Year to Month/Year)
Please enter your beginning end ending employment dates
Responsibilities
Describe your work
Reason for Leaving
3) Company
Job Title
Dates of Employment (Month/Year to Month/Year)
Please enter your beginning end ending employment dates
Responsibilities
Describe your work
How did you hear about Ironworkers Local 623?*

Social MediaWebsiteFriend/FamilyVisit from a RecruiterCareer FairOther
Are you or have you ever been a member of any union?*

YesNo
Do you have work experience in Construction?*

YesNo
Do you have any of the following Safety Training Cards?*

OSHA 10OSHA 30OSHA SUB PART RMSHAN/A
Do you have any certifications? (You will need to upload photo of the certifications you have below)*

TWICWelder SMAWWelder FCAWWelder GTAWNCCCO Rigger 1NCCCO Rigger 2NCCCO Signal PersonNCCER RiggerEPRIN/A
Please provide legible photos of each certification marked above.

Multiple images may be selected and uploaded.
Safety Training Card Image Uploads*

Cancelof
Certification Images Upload

Cancelof
What education experience do you have?*

High School DiplomaG.E.D.Trade Technical SchoolCollegeOther
Are you aware that you must be Drug Free, including any non-prescribed drugs?*

YesNo
Do you know that all Contractors require Drug Testing?*

YesNo
The 623 Ironworkers jurisdiction covers all of Louisiana and most of Mississippi. Are you willing to accept jobs that may be 75 miles or more from your home?*

YesNo
Do you have a valid Driver’s License?*

YesNo
Do you have reliable and dependable transportation that is yours, to get you to your assigned job sites?*

YesNo
Are you able to lift in excess of 50 pounds?*

YesNo
Are you afraid of heights?*

YesNo
Are you willing to work overtime?*

YesNo
Are you willing and able to work outdoors in the heat and cold?*

YesNo
Are you a Veteran?*

YesNo
I understand that any false statement or information that I have provided on this application, or on other documents shall be cause for denial of an oral interview or termination of indenture.*

YesNo
Would you be willing to take more training if necessary?*

YesNo
When reporting to our Training Center, you are asked to bring the following documents:
1. Certified Birth Certificate
2. High School Diploma or GED Transcripts
3. Driver’s License
4. Social Security Card (non-laminated)
5. DD214 (if Military Veteran)- Any certifications/credentials
Should be Empty:

Application for Membership