I.B.E.W. Local 86 Rochester, NY Electrician Application

This application is not for the Apprenticeship. If you wish to apply for the Apprenticeship please contact the training center at (585) 235-5050.

– Step 1 of 4

Name *

First

Middle

Last

Phone *

Email *

Date of birth *

Last 4 Social Security Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about I.B.E.W.?

Are you a High School graduate? *

Do you have a "GED"?

Did you ever participate in any kind of vocational technical training during or after high school? *

How long was the program?

Describe the program

Did you complete the program?

Have you served in the US military? *

How long did you serve?

Which branch did you serve?

Did you complete any military training schools?

Do you have a valid Driver's License? *

Do you have a CDL? *

What class CDL do you have? *

Class A
Class B
Class C

https://www.dmv.org/commercial-drivers/cdl-class-types.php

Do you have an OSHA 10 hour card? *

Are you physically and mentally able to safely perform or learn to perform the work of this trade, either with or without reasonable accomodations? *

Are you able to get to and from work at various job sites anywhere within the geographical area? *

Are you able and willing to attend all related classroom training as required? *

Are you able to climb and work from ladders, scaffolds, poles or towers of various lengths and heights? *

Can you crawl and work in confined spaces such as attics, manholes and crawl spaces? *

Are you able to hear and understand verbal instructions and warnings given in English? *

Do you have the legal right to work in the United States? *

Employment Information

Do you have electrical or construction work experience? *

Months/Years of Experience?

List the Contractors you have worked for.

Are you presently employed? *

Present or Most Recent Employer *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Type of work *

Industrial
Commercial
Residential
Other

Describe "other" type of work

Owner

Immediate Supervisor *

Number of employees working for this Employer

Employment start date *

Employment end date (if one)

Salary

Benefits

May we contact this employer? *

I understand all the above and state that, to the best of my knowledge, all information provided on this form is true and accurate. *

Initial (First and Last) *

Date *

Phone

Dec 11

12:00 pm - 2:00 pm

Retiree’s Christmas Party

Dec 13

5:30 pm - 7:30 pm

Union Meeting

Dec 14

10:00 am - 1:00 pm

Kiddie Christmas Party

Dec 25

All day

Christmas Holiday

Jan 1

All day