IBEW LOCAL 26 TRADESMAN INFORMATION FORM

Tradesman Information Form

IBEW Local 26 - Membership Development Department
The information supplied below will be reviewed by the Organizing Department. Based upon your qualifications, work history and available jobs, we may contact you for additional information or an interview.

If we do not contact you within 30 days, you may need to provide a new form for continued or future consideration.
Date*

MonthDayYear
Date
Source
Personal Information
Name*

First NameMiddle InitialLast Name
Address*

Street Address

Apartment Number

CityState

Zip Code
Telephone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Have you ever been convicted of a felony?

YesNo

EMPLOYMENT HISTORY
Were you referred to Local 26 by a member or contractor?

YesNo
If yes, what is the person's name?
If yes, what is the person's name?
If yes, which contractor?
If yes, which contractor?
How much experience do you have doing ELECTRICAL work?*
Do you have experience doing construction work?

NoYes
How much experience do you have doing CONSTRUCTION work?*
Please click on the link below, to contact our Training Center (JATC) and complete an application for available jobs.

https://www.jatc26.org/program/residential-training-program/
Do you have experience doing construction work?*
Most Recent Employer*
Employed from*
MM/YYYY
Employed to*
MM/YYYY
Rate per hour*
Previous Employer
Employed from
MM/YYYY
Employed to
MM/YYYY
Rate per hour
Previous Employer
Employed from
MM/YYYY
Employed to
MM/YYYY
Rate per hour

Type a question
How did you hear about us?*

Word of Mouth, by a member?Word of Mouth, not a memberRadioInternet AdvertisementSearch Engine (google, Safari, etc)EmployerOther
Should be Empty:

Certifications / Trainings