Membership Application IBEW Local Union 673

Work History
List the last three (3) employers (starting with the current or most recent employer), the dates of employment,wage rate, and type of work, or attach resume with above mentioned information.
Attach Resume:
Accepted file types: jpg, pdf, Max. file size: 5 MB.
Please note that we can only accept JPG or PDF files and limited to size of 5MB.
Current or Most Recent Empoyer Name
Address
Street Address City State ZIP Code
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Wage Rate:
Type of Work:
Employer 2
Address
Street Address City State ZIP Code
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Wage Rate:
Type of Work:
Employer 3
Address
Street Address City State ZIP Code
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Wage Rate:
Type of Work:

Submitting Application
By submitting this application you are confirming that you agree to be contacted by IBEW Local 64 and that the information provided can be used by IBEW Local 64 for possible employment opportunities. Further, you agree that the information you have provided is true, complete, and correct to the best of your knowledge.
Any Extra information you would like us to consider:
Todays Date*
Comments
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Join IBEW Local 673 for a career with a great wage, health insurance, pension, job security, and so much more.