IBEW Outside Personnel Onboarding
Employee Information
First Name
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you posses a CDL?
*
Please Select
Yes
No
Job Classification
*
Please Select
Line General Foreman
Line Foreman
Journeyman Lineman
7th JL Apprentice
6th JL Apprentice
5th JL Apprentice
4th JL Apprentice
3rd JL Apprentice
2nd JL Apprentice
1st JL Apprentice
3th JL Apprentice
"A" Equipment Operator
"B" Equipment Operator
"C" Equipment Operator
Groundman
Glove Size
*
Please Select
Size 9
Size 9.5
Size 10
Size 10.5
Size 11
Size 11.5
Size 12
Sleeve Size
*
Please Select
Regular
Large
Primary Emergency Contact Information
First Name
*
Last Name
*
Relationship
*
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Emergency Contact Information
First Name
*
Last Name
*
Relationship
*
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upload Drivers License:
*
Browse Files
Drag and drop files here
Choose a file
Picture or PDF of Drivers License
Cancel
of
Upload Med Card:
*
Browse Files
Drag and drop files here
Choose a file
Picture or PDF of Card
Cancel
of
Upload Social Security Card:
*
Browse Files
Drag and drop files here
Choose a file
Picture or PDF of Social Security Card
Cancel
of
Upload Union Ticket:
*
Browse Files
Drag and drop files here
Choose a file
Picture or PDF of Union Ticket
Cancel
of
Upload Voided Check for Direct Deposit
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Aequitas Power Vehicle Use / Drug and Alcohol / and Digital Media Release Waiver
By signing below you are stating that you have read and will adhere to the stated policies and have agreed to the Media Release Waiver.
*
Continue
Continue
Should be Empty: