IBEW Local 915

January 17, 2019

IBEW Kids Corner

`Electrical Games & Links`

Science Kids

Online Membership Application

If you have less than 5 years experience please contact our Apprenticeship at 813-621-3002 or vist their website at: http://www.tampajatc.org/index.php/applications/how-to-apply

Upon completion of this form your name will be added to our database for current and future work opportunities. Additional instructions will be given when you submit the form.

Your Social Security number is required to add your information to our our database. Please contact us with any questions or concerns.

We hold your information in the highest regard for the purpose above, nothing you send to us will be given or sold to anyone ever.

Contact Information

Social Security Number:
First name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Do you have electrical construction experience?	Yes
If yes, how many years total?	Years
Industrial Experience:	Years
Commercial Experience:	Years
Residential Experience:	Years

Skills

**Check all that apply if you have 1 year of experience or more.**
OSHA 10	New Construction	Underground Raceway	Romex Installation
OSHA 30	Remodel	Testing Equipment	Wire Pulls
TWIC	Service Work	MC Cable Installation	Panel Installation
Journeyman License	Trouble Shooting	Conduit installation	Wire Terminations
Foreman Experience	Blueprints	Cable Tray Installation	Control Wiring

Employment History

List your current and/or last three employers (they will NOT be contacted):

Name of employer	Employment Duration	Wage Rate	Reason for leaving (brief)
	Yrs. Mths.
	Yrs. Mths
	Yrs. Mths

Education (Check all that you have completed)

High School or GED

Vocational School

Some College

Electrical Apprenticeship Program:

Bachelors Degree College:

Other

Why the IBEW?

Please briefly describe why you would like to join the IBEW?

What issues concern you as an electrician?

Wages Health Insurance Retirement Steady Employment Other

Have you ever been a member before? Please describe your experience.

By submitting this form you are confirming that you agree to be contacted by IBEW Local 915 and that the information provided can be used by IBEW LU 915 for possible employment opportunities. Further, you agree that the information you have provided is true to the best of your knowledge.