IBEW Local 553 Journeyman Lineman Appointment Request Form

IBEW Local 553 Journeyman Lineman Appointment Request Form

3300 Hwy. 70 E / New Raleigh Hwy., Durham, NC 27703
If you are interested in taking a Journeyman Lineman exam with IBEW Local 553, please complete this application. Applicants must reside or be employed in Local 553's jurisdiction. Here are the listed 553 counties: Bertie, Chatham (east of Gulf, Hadley, and Hickory Mountain Townships),Cumberland, Durham, Edgecombe, Franklin, Granville, Greene, Halifax, Harnett, Hertford, Hoke, Johnston, Lee, Martin, Moore (south of Highway 501), Nash, Northampton, Orange, Person, Pitt, Vance, Wake, Warren, Wayne, Wilson, Camden, Chowan, Currituck, Gates, Pasquotank, Perquimans.

If you are any other Outside Electrical Classification, please fill out the appointment request form on our website at www.ibew553.org under the Actionable tab.
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence:*
What position are you applying for?
Last four of Social Security number:
Do you have a valid photo identification (Driver's License)?*

YesNo
Do you have a valid CDL License?*

Class AClass BClass CNo
Are you a current member of the IBEW?*

YesNo
Have you ever been a member of the IBEW?*

YesNo
If you are a previous IBEW member, what Local were you a member of?*
Current members of the IBEW transferees will need to show evidence of residence within the confines of LU 553 jurisdiction.
Have you previously been enrolled or completed an NJATC Journeyman Lineman Apprenticeship program?*

YesNoYes but not completed
Have you previously been enrolled or completed a certified Department of Labor Journeyman Lineman Apprenticeship program*

YesNoYes but not completed
Do you have verifiable W-2's, Pay stubs, or employer affidavit on employer letterhead to establish the required experience and copied documentation of 7,000 hours in the Outside Electrical Industry with a minimum of 4,000 hours at Journeyman level for a total of 11,000 hours?*

YesNo
Work Experience Verification Form

This form is intended to verify work experience in the electrical industry for the purpose of qualifying for industry-recognized credentials. It should be completed by a past or present employer who can confirm the applicant’s relevant field experience. Please provide specific information regarding dates of employment, type of work performed, and total hours. Print form and attach completed form with your W2 forms below.
Please upload your proof of address (e.g recent utility bill, Driver's License or official document) proof of hours, and the completed Work Experience Verification Form. *

Cancelof
The Journeyman Lineman exam is scheduled a week in advance. We will try to accommodate your schedule if possible. However the date you schedule could possibly change. What date and time work best for you? (The exam can only be scheduled on Wednesday and Friday at the available times below).*
If all of the required documents are not provided, the application will be discarded, you will lose your appointment time and will need to reapply with all the required documents.
By signing this document, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.*
Should be Empty:

IBEW Local 553 Journeyman Lineman Appointment Request Form

Work Experience Verification Form

If all of the required documents are not provided, the application will be discarded, you will lose your appointment time and will need to reapply with all the required documents.