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November 27, 2020
Online Application

                                                           APPLICANT INFORMATION

Full Name:  Street Address:

Apartment #  City:  State:  Zip Code:

Home Phone #  Cell Phone #  E-mail:

Date of Birth:  Place of Birth:  

Social Security #  Date Available:

Are you a citizen of the United States?  YES  NO  

 If no, are you authorized to work in the U.S.?  YES  NO

Have you ever been a member of the IBEW?  YES  NO   If yes, when?

Have you ever been convicted of a felony or a misdemeanor?  YES  NO

If yes, explain when and why:


High School:  Address:

From:  To:  Did you Graduate?  YES  NO

College:  Address:

From:  To:  Did you Graduate?  YES  NO  Degree:

Other:  Address:

From:  To:  Did you graduate?  YES  NO  Degree:

                                                                         WORK HISTORY 

  Heavy Industrial                                                     Schools                               Outside Transmission

         Commercial                                                     Controls                                   Outside Distribution

           Residential                                                  Fire Alarm                                     Outside Substation

                  Service                                                             VDV                                             Line Clearance

                      Other (please specify)

                                                               PREVIOUS EMPLOYMENT

Company:  Company Phone #

Address:  Supervisor:

Job Title:  Starting Salary:

Ending Salary:  From:  To:  

Reason for Leaving:


Company:  Company Phone #  

Address:  Supervisor:

Job Title:  Starting Salary:

Ending Salary:  From:  To:  

Reason for Leaving:


                                                                MILITARY SERVICE

Branch:  From:  To:  

Rank at Discharge:  Type of Discharge:

If other than honorable, explain:

                                    PLEASE COMPLETE THE FOLLOWING QUESTIONNAIRE:

Have you ever been a member of any other Union other than the IBEW?  YES  NO

If so, which Union?  When and where?

Are you employed in the electrical trade?  YES  NO

How long have you been in the electrical trade?

Please list any special skill or training below (such as Journeyman Card, Vocation Training, Apprenticeship, etc.)

Do you have employer sponsored health care?  YES  NO

List names of three (3) IBEW Local 80 members if possible who have knowledge of your skills, working ability, etc. below

If you are accepted, will you take an active part in IBEW Local 80?  YES  NO

What is the reason for joining IBEW Local 80?                                                           Health Care

                Wages                                              Retirement                                              Training

                 Safety                             Working Conditions                                    Advancement

                  Other  (please specify)

How did you hear about IBEW Local 80?


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