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UA Local Union 250 Application - To leave this page, Use your browsers BACK button to return to previous page
* Required
CONTACT INFO - Apprentices must apply in person, call (213) 747-0291.
* First Name
* Last Name
* Address
* City
* State
* 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
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