Salem Outage Waitlist-Fall 2024

Salem Outage Waitlist-Fall 2024
Full Name *

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*
dd/mm/yyyy
Full Social Security #*
Ex: 123-45-6789
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
UBC #*
Local Union*
Choose one:
Journeyman
Apprentice
Apprentice Year?

1234
Valid Scaffold Certificate?

YesNo
Red Badged?

YesNo
Requirements: Must be able to pass a drug and background check

*If your services are needed, you will receive an email*
Should be Empty: