New Member Information Form

General Information Form

First Name(Required)

Last Name(Required)

Middle Initial

Suffix

Date(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth(Required)

Social Security Number(Required)

Gender(Required)

Race(Required)

Organizer(Required)

Classification (ask your Organizer)(Required)

TDLR State License

Max. file size: 50 MB.

OSHA 10 Certificate

Max. file size: 50 MB.

Most Recent Paystub(Required)

Max. file size: 50 MB.

Employment History

Please provide two Companies that you were most recently employed by and your pay rate in those positions.

Employer One(Required)

Employer One Payrate (per hour)(Required)

Employer Two(Required)

Employer Two Payrate (per hour)(Required)

References

Please provide three non-union references, these can be previous Coworkers or Supervisors.

Non-Union Reference 1 Name(Required)

Non-Union Reference 1 Phone No.(Required)

Non-Union Reference 2 Name(Required)

Non-Union Reference 2 Phone No.(Required)

Non-Union Reference 3 Name(Required)

Non-Union Reference 3 Phone No.(Required)

Comments

Feel free to put any feedback or information you feel we should know here.

Consent(Required)

I agree to the privacy policy.

Submission of this information is voluntary and will be kept confidential. The particular categories of gender, race, and ethnicity collected are those sought by applicable federal laws under which certain local unions must report such information on an aggregate and summary basis to the federal government. If you choose not to self-identify, the federal government may require this information to be determined by visual survey and/or other information.

New Member Information Form

General Information Form

Employment History

References

MY 520

TRAINING

NEWS