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Prospective Member Application
Prospective Member Application
Prospective Member Application
Fields of Interest
*
Please select the field you are most interested in.
Steamfitters/Welding
Plumbing (Commercial & Residential)
HVAC
Pipe Line/Gas Distribution
Applicant Info
*
First Name
*
Last Name
*
Middle Name
*
Address
*
City
*
State
*
Zip
*
Email
*
Confirm Email
*
Primary Phone #
*
Landline or Cell?
Landline
Cell
Secondary Phone #
Landline or Cell?
Landline
Cell
*
Social Security Number (Last 4 Only)
Social Security Number (Last 4 Only) requires a value 4 digits long.
*
Date of Birth
*
Gender
Male
Female
*
Are you a citizen of the United States?
Yes
No
*
Are you authorized to work in the United States?
Yes
No
*
Do you have a valid CA Driver License?
Yes
No
*
Are you prepared to submit a background check?
Yes
No
*
Are you currently employed?
Yes
No
*
Are you willing to submit to drug & alcohol testing?
Yes
No
*
Do you have a refinery safety certification?
Yes
No
*
Have you ever been a member of a union?
Yes
No
*
Did you complete an apprenticeship program?
Yes
No
Military
*
Are you a Veteran?
Yes
No
Education
High School Name
High School City
High School State
High School From
High School To
Did you graduate?
Yes
No
GED
*
Have you attended a Trade School?
Yes
No
Additional Educational Background
Years of Related Work Experience
List jobs in order beginning with you most recent job.
Employer Name
Employed From
Employed To
Type of Work
Reason for Leaving
Years Employed
Employer Name
Employed From
Employed To
Type of Work
Reason for Leaving
Years Employed
Employer Name
Employed From
Employed To
Type of Work
Reason for Leaving
Years Employed
Upload your resume
Resume
Disclaimer & Signature
I certify that the information provided is true and complete to the best of my knowledge. By completing this application I understand that this is not a guarantee of acceptance into U.A. Local 342.
*
Applicant's Signature
