UA Local Union 250 Application -
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* Required
CONTACT INFO -
Apprentices must apply in person, call (213) 747-0291.
* First Name
*
Last Name
*
Address
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
*
Home Phone
Cell Phone
Work Phone
Pager
* Email
EMPLOYMENT INFO
Current Wage Rate
Current Company
Length of Employment
Years
Months
Please Check the following benefits you currently receive
401K
Profit Sharing
Employer paid medical for entire family
Employer paid medical for worker only (family extra)
Dental
Vision
Prescription
Other
Previous Company
Length of Employment
Years
Months
Reason For Leaving
Driving License
Note: A DMV printout is required - Good driving record suggested.
Previous Company
Length of Employment
Years
Months
Reason For Leaving
Total Years of Experience
AIR CONDITIONING & REFRIGERATION WORK EXPERIENCE
- Please enter number of years for each type of work
Residential AC Service
Pneumatic Controls Service
Residential AC Installation
Pneumatic Controls Installation
Commercial AC Service
Building Automation
Commercial AC Installation
Commercial Boiler Service
Commercial Refrigeration
Centrifugal
Commercial Refrigeration Installation
HVAC Service Supervision
Market Refrigeration Service
Ammonia Refrigeration
Market Refrigeration Construction
Absorbtion Systems
Ice Machine Service
EDUCATION & TRAINING
Trade School or College
Years Attended
Field of Study
Did You Complete The Program?
Yes
No
Date Completed
Month
Year
Additional Training
Additional Info
CERTIFICATIONS
EPA Certified
Yes
No
<< Check Applicable Boxes Below >>
Certification Type
Type
Month/Year Received
I.D. Number
I
II
III
Universal
MISC. INFORMATION
How did you learn about our Union?
Are you answering a radio or TV ad from P.I.P.E.?
Yes
No
If you were referred, please state the name of the person who referred you
UPLOAD RESUME
Upload a resume (Acceptable formats: Word, PDF, JPEG, Text. 2mb's maximum)
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