Terminal Andrae Employment Application
Apply for TA job opportunities by completing this application. Please provide accurate information and answer all required questions.
Last Name
*
First Name
*
M.I.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Street Address
*
Apartment/Unit #
City
*
State
*
ZIP
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail Address
*
example@example.com
Position applying for (Select all that apply)
*
Apprenticeship
Technology Systems / Low Voltage
CW/ CE (Entry Level)
Journeyman Electrician
Project Manager
Assistant Project Manager
Other
Other - please specify
Date Available
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you legally authorized to work in the U.S.?
*
YES
NO
Do you have a valid Driver’s License?
*
YES
NO
Do you have reliable transportation?
*
YES
NO
Are you willing to travel to job sites?
*
YES
NO
Are you a New Worker?
*
YES
NO
Do you have previous electrical/ low voltage work experience?
*
YES
NO
If yes, how many years?
If Yes, list Contractor(s)
What type of work did you do?
Do you have OSHA 10 Safety Training?
*
YES
NO
OSHA 10 Completion date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Do you have a state of Wisconsin electrical license?
*
YES
NO
If Yes, License Number
Are you a LU 494 Member?
*
YES
NO
If Yes, IBEW Card Number
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Classification (Office Use Only)
Scale (Office Use Only)
Project Possibilities (Office Use Only)
Comments (Office Use Only)
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