PERSONAL INFORMATION
First Name: 
Last Name: 
Age: 
Gender: 
Marital Status: 
Number of Children: 
Employer: 

 SKILL LEVEL AND COMPENSATION

Apprentice:
Journeyman:
Foreman/lead:
General Foreman:
Superintendant:
Wages: $/hour Benefits:  $/hour 

Piece Work?

 per

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 BENEFITS

Do you have Health Benefits?

YesNo

    Medical?

       Dental?

      Vision?

     Family?

Monthly Co-pay Amount(s)?

 WORK EXPERIENCE

 

Years

Months

How long have you been with your present employer?

 
How long in the industry?  

Residential
  

Rough In

Trim

How many houses do you do in a week? 

Where is the majority of you work experience?

 No Experience

 Some Experience

 Very Experienced

         * Tract

 

 

 

         * Custom Homes

 

 

 

         * Multi Family / Apartments

   

 

   

         * Service

 

 

 

Commercial / Industrial

Where is the majority of your work experience?

No Experience

Some Experience

Very Experienced

         *Mixed use (MC / ROMEX instillations)

         *Tenant improvment (small conduit)

         *New Construction (tilt up, block, etc)

  

  

         *Industrial (large conduit)

         *Motor Controls

  

         *Fire Alarm

         *Service

Low Voltage
Where is the majority of your work experience?

No Experience

Some Experience

Very Experienced

       * Telephone / Data

       * Fire Alarm Systems

       * Security Systems

       * Card Access

       * Sound Systems

       * Video Systems

       * Service

 

EMPLOYMENT OPPORTUNITIES
What type of work do you prefer? 
  Residential 
            * Tract Housing

            * Custom Homes

               * Multi-Family / Aparments

               * Residential Service

  Commercial / Industrial

 
            * Mixed Use (MC/Romes instillations)

            * Tenant Improvment (small conduit)

             * New Construction (tilt up, block, etc...)

            * Industrial ( large conduit)

            * Motor Control

            * Fire Alarm

            * Commercial Service

   Low Voltage 
            * Telephone / Data

 

               * Fire Alarm

 

               * Security

 

                * Card Access

 

               * Sound

 

               * Video

 

Have you ever acted as a foreman?

Yes 

No   

Would you like to be contacted by union employers with job offers?

Yes 

No   


If so, please

provide us with additional contact information.

Phone:

E-Mail Address: