Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver's License#
*
State Issued
*
Expiration Date
*
Class of License
*
Class A
Class B
Class C
Class D
Endorsments
*
Air Brakes
Tanker
Doubles/Triples
Hazmat
None
IBEW Membership Status
Are you an IBEW Member?
*
Yes, Local 160
Yes, Other
No
Classification
*
Card Number
*
Upload Current Dues Receipt
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Seperation/Termination Slip
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Equipment AND/OR Field-Related Experience:
Check by each piece of equipment you can run well and/or field-related experience you have. If you cannot operate a listed piece of equipment efficiently or do not have the work experience listed, DO NO CHECK IT!!!
Equipment Experience
*
Backhoe
Bucket Truck/Aerial Device
Cable Plow
Clam Truck
Crane 21 Ton or Greater
Crane 21 Ton or Less
Digger Derrick
Directional Bore Rig
Dozer
Excavator
Low Drill
Skid Steer
Stringing Equipment
Texoma/Williams Digger
Track Equipment
Trencher (walk behind)
Trencher (with seat)
Vacuum Trailer
Vacuum Truck
None
Work Experience
*
Carpentry (Utility)
Flagging/Traffic Control
Footer Experience
Helicopter Experience
Hi Volt Cable Splice 34.5<
Lead Cable Splicing
Line Clearance Trimming
Locating
Matting
Potholing (utility locating)
Rebar
Restoration (hard surface)
Restoration (soft surface)
Street Lighting
Substation Experience
Underground Power Installing
Underground Telecommunications
Underground Vault Experience
Wind Turbine Experience
None
Certifications/Endorsements
*
CDL/Medical Card
CIC/CIA
Confined Space
CPR Card
EICA Crane Certification
First Aid Card
Helicopter
Hand Signal/Rigger
Line School Graduate
NCCCO
OSHA T&D 10
OSHA T&D 20
OSHA T&D 30
Welder
None
Signature
I have read and understand the Hiring Hall Rules of IBEW Local 160. I, the undersigned, agree to abide by the posted Hiring Hall Rules of IBEW Local 160. I also agree that if any of the above statements are found to be incorrect, it will be just cause for removing my name from the Out-of-Work List.
Signature
*
Please verify that you are human
*
Submit
Submit
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