FULL APPLICATION

Apply for membership in IBEW Local #82
by filling out our online membership application.

THIS IS NOT AN APPLICATION FOR THE APPRENTICESHIP PROGRAM

IBEW Local #82 Application For Membership

An Equal Opportunity Organization

Your Name
MM slash DD slash YYYY

Personal Data

This application must be filled out by the applicant only. Please be accurate and thorough. Attach supplements if necessary. All information will be regarded as confidential. This application will be retained in an active file for a period of six months. Thereafter, if you still desire employment with IBEW Local #82, you must reapply. Exclude any references which may reveal or tend to reveal your race, color, religion, national origin, creed, age, or marital status.
Current Address
Previous Address
Do you...
Able to relocate?
Willing to travel?
Do you own a car?
Are you related to any employees of IBEW Local #82?
In case of emergency, who should be notified?
Emergency Contact's Address

Employment Interests

Hours
Have you ever worked for us?

Education (other than military)

Max. file size: 256 MB.
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?

Employment History

Address of present employer
Name of your supervisor
May we contact him/her?
Presently employed
Layoff
Address of previous employer
Name of supervisor
May we contact him/her?
Presently employed
Layoff
Address of previous employer
Name of your supervisor
May we contact him/her?
Presently employed
Layoff
Address of previous employer
Name of your supervisor
May we contact him/her?
Presently employed
Layoff

US military status and record

Are you a veteran of the Vietnam era (8/5/64-5/7/75)?
Do you have Reserve or Guard obligations?
Max. file size: 256 MB.

Select the appropriate circle for each question

1. Do you have electrical construction work experience?
2. Do you have other construction work experience?
3. Are you now, or have you ever been, a registered apprentice?
3b. If yes, are you still an active apprentice in that program?
4. Do you have a valid driver's license?
5. Do you have a commercial driver's license (CDL)?
5a. If yes, what class CDL do you have?
6. Are you physically able to safely perform or learn to safely perform essential functions of this job, either with or without reasonable accommodations?
7. Are you able to get to and from work at job sites anywhere within the geographical area?
8. Are you able and willing to attend all related classroom training?
9. Are you able to climb and work from ladders, scaffolds, poles and towers of various heights?
10. Are you able to crawl and work in confined spaces such as attics, manholes and crawlspaces?
11. Are you able to read, hear and understand instructions and warnings?
12. Are you presently employed?
12a. If yes, do you request that we NOT contact your present employer at this time?
13. Do you have a legal right to work in the United States of America?

Select the appropriate circle for each statement to indicate your knowledge and understanding.

A. I am aware that it is my responsibility to keep this program informed of any changes in my address and phone number.
B. I have read and understand the basic qualifications for entry into the program.
C. I understand that I must furnish certain specific documentation to provide evidence that I meet the qualifications.
D. I understand that any false information provided as part of my application shall be just cause for termination.
E. I understand that an incomplete or unsigned application will NOT be processed.

Understanding/Authorization

Please read carefully. The information contained in this application is correct and accurate to the best of my knowledge. I understand that employment is subject to the verification of applicable lawful age and legal right to remain permanently in the United States and I will furnish and submit such lawful proof, documents and permits as may be necessary to verify the same. I hereby agree to submit to drug testing and I authorize any agency which has ever tested me to give IBEW Local #82 a complete record and report. I authorize (a) investigation of the information contained in this application, or other matters concerning my past employment or other activities, (b) the assurance of reports or other statements which may be furnished or obtained and concerning the same. I hereby release from any all liability and responsibility all persons, companies or corporations supplying such information and Local Union #82 in obtaining the same. I agree to use such personal protective equipment and devices as may be regulated by the Union and to comply with safety rules and requirements. I understand that any misleading or incorrect statements may render this application void and in the event of my employment, would be cause for immediate dismissal. I understand that my possible employment is conditioned upon my being physically able to perform the job for which I am being considered and that this may be determined by a pre-employment physical examination. I have carefully read the above and fully understand the same. Please enter your name in the following blank as confirmation of your understanding and authorization.
MM slash DD slash YYYY

Electrician's Questionnaire

How much experience do you have with residential wiring?
How much experience do you have with commercial wiring?
How much experience do you have with a service truck?
How much experience do you have with industrial wiring?
Rigid & IMC Conduit Bending, Threading & Installation - 1/2" through 1"
Rigid & IMC Conduit Bending, Threading & Installation - 1 1/4" through 2"
Rigid & IMC Conduit Bending, Threading & Installation - 2 1/2" through 4"
Rigid & IMC Conduit Bending, Threading & Installation - Explosion Proof Work
Rigid & IMC Conduit Bending, Threading & Installation - PVC Bending & Installation
Rigid & IMC Conduit Bending, Threading & Installation - Cable Tray
Electrical Metallic Tubing (EMT) Bending & Installation - 1/2" through 1 1/4"
Electrical Metallic Tubing (EMT) Bending & Installation - 1 1/2" and up
Wire Pulling & Terminating - #16 through #2
Wire Pulling & Terminating - #1 through 500 MCM
Wire Pulling & Terminating - Speaker Cable
Wire Pulling & Terminating - Telephone Cable
Wire Pulling & Terminating - Coax and Computer Cable
Wire Pulling & Terminating - Fiber Optic
Wire Pulling & Terminating - Installation Type MC Cable
High & Medium Voltage Wire Pulling & Terminating - 5KV
High & Medium Voltage Wire Pulling & Terminating - 15KV
High & Medium Voltage Wire Pulling & Terminating - 35KV
Motor and Control Wiring - AC Motor Wiring
Motor and Control Wiring - AC Drive Wiring
Motor and Control Wiring - DC Drive Wiring
Motor and Control Wiring - Relay Logic
Motor and Control Wiring - Programmable Controller Hook-Up
Motor and Control Wiring - Programmable Controller Programming
Transformer Wiring - Control Transformers
Transformer Wiring - Power Transformers
National Electrical Code Experience
Working of Blueprints
Project Foreman or Management Experience
Instrumentation Experience
System Experience - TV
System Experience - Fire Alarm
System Experience - Security
System Experience - Speaker and Intercom

To the best of my knowledge, all of the above is true and accurate.

Enter your name and the date below as your confirmation of these statements.
Name
MM slash DD slash YYYY

Contact IBEW Local 82