IW 848 Application

IW 848 Application
The survey will take approximately 10 minutes to complete. Filling out this form does
not guarantee a position. It is used solely for informational purposes. You will be
contacted when there is a need to fill positions with our signatory employers or
withing our DOL Registered Apprenticeship Program. When interviewed, we will
need:
* Proof of Employment history,
* For those with Ironworking experience proof of tools
* Copies of any certifications you have.
* Employment references
Name*

First NameLast Name
Date*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last 4 of SSN #*
Birthdate*

MonthDayYear
Date
How did you hear about us?*
Do you have any experience in the Ironworking Construction Trade?*

YesNo
If yes, how many years?
Do you have any experience in General Construction?*

YesNo
If yes, how many years?
Do you have any experience in fabrication?*

YesNo
If yes, how many years?
Check all experiences that apply to you*

IronworkingGlass FinishingRiggingMaterial HandlingGeneral LaborNone
Check only boxes for which you can show a Certificate*

OSHA 10 or 30OSHA Sub past R Steel ErectionRiggingAerial LiftForkliftWeldingNone
Do you have experience welding with SMAW?*

YesNo
If yes, how many years?
Are you certified?

YesNo
Do you have experience welding with FCAW?*

YesNo
If yes, how many years?
Are you certified?

YesNo
Do you have a High School Diploma? OR

YesNo
Do you have a GED?

YesNo
Did you attend College or Trade School?

YesNo
If you received a certificate or diploma, please enter the name of the school.
Do you have a Driver's License?*

YesNo
Do you have reliable transportation?*

YesNo
Are you capable of lifting up to 50 pounds?*

YesNo
Are you capable of going to work on a daily basis without coming in late and leaving early?*

YesNoMaybe
Are you afraid of heights?*

YesNoMaybe
Are you a Veteran with a DD-214?

YesNo
Please provide any additional information that will help us evaluate your application.
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