• July 21, 2019
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  • IBEW Local 661 Application
    Social Security No:
    Name:
    Date of Birth:
    Address:

    City/State:

    Zip code:
    Phone number:
    Position applied for:
    Do you have a valid Drivers License?
    Have you been convicted of a Felony?
    If yes please explain:

    Are you willing to take a job training and courses if needed?

    Are you willing and able to travel to jobs away from the immediate area of your residence?

    Education

    High School Diploma or GED

    School, Year Graduated

    College?
    Please list any electrical trade related courses, including math, you have completed in the above formal education:
    Email Address:
    Work History:

    Enter the text shown in the image above.


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