IW 89 Application for Employment

Ironworkers Local 89 is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered.

Name

First NameMiddle NameLast Name

Address

Current Street Address

Street Address Line 2

City State Zip

Other names under which you have attended school or been employed

Last 4 Digits SSN

Email

example@example.com

Cell Phone

Enter your mobile numberFormat: (000) 000-0000.

Home Phone (if different)

Enter your home number if it is different from cellFormat: (000) 000-0000.

Are you eligible to work in the United States?

Are you 18 years of age or older?

If NO, what is your current age?

Are you currently employed with any Union Affiliate (local union)?

If YES, what is your job title & department?

Have you ever been employed by a Union Affiliate?

If YES, dates of employment and reason for leaving:

Are you related to any member (past or present) of any Union Affiliate?

If YES, their name, trade, relationship to you:

Do you have a valid drivers license?

If YES, Sate of Issuance, license #, and expiration date:

How did you learn about this employment opportunity at Ironworkers Local 89

EDUCATION

Name of High School and location (city/state)

Did you graduate or achieve your GED?

Number of years left until graduation / GED?

Date of Graduation / GED

College Name and location (city/State)

Did you graduate?

Number of years until you graduate?

Date of graduation, degree received, and major

Other School name and location (city/state)

Did you graduate?

Number of years left until graduation?

Graduation date, degree received, and major

Other credentials / Licenses, personal affiliations, etc. which are relevant to the job(s) for which you are applying:

Please list technical skills and/or trade skills, etc. relevant to this position. Include current training certifications Welding credentials OSHA, Fork truck, Riggers Signalman, etc. relevant to this position.

WORK EXPERIENCE

Please detail your work history for the last 5 yrs.

Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation "See Resume."

PLEASE NOTE: Ironworkers Local 89 reserves the right to contact all current and former employers for reference information

Organization Name and Address

Dates Employed: From (month/year) To (month/year)

Employed

Position Title:

Starting Salary

Final Salary

Supervision Name & Phone

Other reference name and phone

Contact my current references

Primary Duties

Reason for Leaving

Organization Name and Address

Dates Employed: From (month/year) To (month/Year)

Employed

Position Title

Starting Salary

Final Salary

Supervisor's Name & Phone

Other reference name and phone

Contact my references

Primary duties

Reason for Leaving

Add additional Employer information

Please list previous employers: Name, location, dates employed, and supervisor name / phone

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or terminationafter employment if discovered at a later date.

I authorize Ironworkers Local 89 to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment.

I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that members of Ironworkers Local 89 serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law.

If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with Ironworkers Local 89 Rules & Regulations, Guidelines and the Standards of Excellence. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Ironworkers Local 89 benefit package in its entirety. I understand that any benefits I receive may be subject to change or discontinue at any time without prior notice, I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.

Applicant Signature

Date