City:. State - Iron Workers Local 387

Transcription

City:. State - Iron Workers Local 387
ATLANTA IRONWORKERS LOCAL 387
Application for Membership
Name:
Date:
Address:
City:.
State:
County,
Zipcode:.
Contact Phone:
Secondary Phone:
Drivers License State:
Number:
Birthdate:
Military Experience: Yes_
Type of Discharge:.
Branch:
No
No. of Years
Applicant School Experience Record
HIGH SCHOOL
Diploma
GED
ADDITIONAL SCHOOL
No. of Years
ADDITIONAL SCHOOL
No. of Years
DATE FINISHED
NAME OF SCHOOL
CITY AND STATE
DATE FINISHED
NAME OF SCHOOL
CITY AND STATE
DATE FINISHED
NAME OF SCHOOL
CITY AND STATE
Applicant Work Experience Record
Employer Name and Address
Nature of Work
Dates of Employment
If accepted, you will need to supply copies of:
DD214(if former military)
Current Certifications.
Driver's License
Social Security Card _
Emergency Contact:
Address
Phone
Contact Number
Proof of citizenship or immigration will be required upon employment. Are
you prevented from lawfully becoming employed in this country because of
Visa or immigration status? Yes
No
Initial
Statements of Understanding
I am prepared to work for more than one employer during the probation period.
I can provide a medical certificate as proof of my ability to perform skills
required to be an Ironworker if necessary.
I am prepared to attend training as required by the Collective Bargaining
Agreement.
I am aware that it is my responsibility to keep the Hiring Hall aware of any
change in my address or phone number.
I am prepared to travel out of town for work as it may be required.
I understand that, if selected, I will be required to complete the selection process
by qualifying on any examination, including a physical examination or drug
testing either before or after signing an indenture.
I understand that any intentional false statement or information that I have
provided on this application or on other documents shall be cause for denial of
an oral interview or termination of indenture, should I be selected for the
program.
Please answer the following questions:
1.
How did you hear about Atlanta Ironworkers Local 387?
2.
Are you now or have you ever been a member of any Union?
Yes
3.
No
If yes, with what Union?
Do you have experience in Ironwork? Yes
No_
If yes, please describe aspects of the trade which you have performed.
4.
Have you received training in Construction Safety or Craft Training?
If yes, please list training below with dates.
5.
Are you aware that you must be drug free, including any non prescribed drugs?
Yes
No
6.
Do you know that all contractors you will be working for require drug testing?
Yes.
No
7.
The Atlanta Ironworkers Local 387 jurisdiction covers a large part of Georgia and
parts of Alabama and South Carolina. Are you willing to accept jobs that are 75
miles or more from your home?
Yes
No
8.
Do you have reliable transportation to get to and from work?
Yes
No
9.
Do you have a valid Drivers License?
Yes
No
10.
Do you have a non-laminated social security card?
Yes
No
11.
What rate of pay are you willing to accept when you start?
12.
There is required training to move to upgraded status. This is required of all
members of this organization. Are you willing to attend all required training?
Yes
No
13.
Ironwork is a very physically demanding trade.
Are you able to lift in excess of 75 Ibs? Yes
Are you afraid of heights? Yes
No
_ No
Are you willing to work overtime? Yes
No
Are you willing and able to work outdoors in the heat and cold?
Yes
No
14.
Are you willing to work under a Collective Bargaining Agreement, pay Union
Dues, and pay Work Assessments? Yes
No
15.
Are you willing to abide by the rules and regulations contained in our
Constitution, By-Laws and our Collective Bargaining Agreement?
Yes
No
16.
Are you a Veteran? Yes
17.
Are there any reasons not listed above that you feel you'd be a good fit as a Union
Ironworker?
18.
Have you ever taken or passed a Journeyman's of Apprentice Examination
conducted by a duly constituted Local Union or affiliate of the International
Association? Yes
No
19.
If accepted into this program, when are you available to start work?
No
I agree that aforesaid application is no guarantee of employment, but entirely
for referring qualified applicants to employers when needed. I further agree
that any and all statements and references contained in this application can
be investigated. I understand that all applicants are dispatched to jobs based
upon their entrance for membership into Ironworkers Local 387. I certify
that all the above statements are true and accurate to the best of my
knowledge.
APPLICANT SIGNATURE
DATE