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.
Education (other than military)
US military status and record
Select the appropriate circle for each question
Select the appropriate circle for each statement to indicate your knowledge and understanding.
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.
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.