Join Roofers Local 12

Join Roofers Local 12

If you would like to join Roofers Local 12 please complete this form or call (203) 772-2565
After completing this form you will still need to come to the hall and fill out an application with us.

Our applications hours are as followed:
Monday - Friday- 9:00AM- 12:00PM, 12:30PM- 2:00PM

Our requirements are as follows:
- 2 Forms of IDs
- An OSHA card not older than 5 years
- Any other certifications you may have
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Occupation
Employer
Please list any relevant experience in the Roofing trade industry.
Additional Information (Certifications, Licenses, etc.)
How did you hear about Local 12?

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