Facebook
Flickr
Pinterest
Vimeo
YouTube

Rochester NY

In Memorium
- 2019
- 2020
- 2021
- 2022
- 2023
Member Resources
Fund Office
Referral
Member Login

Membership Development

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.

Name *

First

Middle

Last

Maritial Status *

Dependents *

Street *

City, State Zip *

Phone (area code first) *

Email *

Date of birth *

Last 4 Social Security Number *

Are you a High School graduate? *

Yes
No

If no, do you have a "GED"?

Yes
No

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

Yes
No

If yes, how long was the program?

Describe the program

Did you complete the program?

Yes
No

Have you served in the US military? *

Yes
No

If yes, how long?

If yes, what branch?

If yes, what military training schools did you complete, if any?

Do you have an OSHA 10 hour card? *

Yes
No

Do you have a valid Driver's License? *

Yes
No

If yes, what class CDL do you have?

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

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

Do you have electrical construction work experience? *

Yes
No

List the Electrical Contractors you have worked for.

Do you have experience in any kind of construction work? *

Yes
No

List the Construction Contractors you have worked for.

Are you presently employed? *

Yes
No

Present or Most Recent Employer *

Employer Address *

City *

State *

Zip *

Type of work *

Industrial
Commercial
Residential
Other

If "Other" type of work is selected, describe

Number of employees working for this Employer

Employment start date *

Employment end date (if one)

Salary *

Benefits

Owner *

Immediate Supervisor *

May we contact this employer? *

Yes
No

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

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

Yes

Initial (First and Last) *

Date *

Message

Menu

Home
About Us
Apprenticeship Training
Jurisdictional Maps
Links
Membership Development
Portability Check-In

Upcoming Events

Union Meeting

June 14 @ 5:30 pm - 7:30 pm
Independence Day Holiday

July 4
Union Meeting

July 12 @ 5:30 pm - 7:30 pm
Family Picnic at Seabreeze

August 5
Union Meeting

August 9 @ 5:30 pm - 7:30 pm

View All Events

Contact Us

Phone
(585) 235-1510
Fax
(585) 235-0420
Address
2300 East River Road
Rochester, NY 14623

Preamble Of the first Constitution of the I.B.E.W., drafted November 21, 1891 - The objects of the International Brotherhood of Electrical Workers are: To organize all workers in the entire electrical industry in the United States and Canada, including all those in public utilities and electrical manufacturing, into local unions; To promote reasonable methods of work; To cultivate feelings of friendship among those of our industry; To settle all disputes between employers and employees by arbitration (if possible); To assist each other in sickness or distress; To secure employment; To reduce the hours of daily labor; To secure adequate pay for our work; To seek a higher and higher standard of living; To seek security for the individual; And, by legal and proper means, to elevate the moral, intellectual, and social conditions of our members, their families, and dependents, in the interest of a higher standard of citizenship. Copyright 2017 IBEW Local 86.