Phone: (954)525-3106 Fax: (954)525-5742
201 SE 24th St, Fort Lauderdale FL 33316
  Phone: (561)966-2224 Fax: (561)966-2231
4620 Summit Blvd., West Palm Beach, FL 33415

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Job Application

If you have more than 5 years of experience, apply below.

If you have less than 5 years of experience,  contact our Apprenticeship at (561)968-4400 or click here to visit their website. 

Upon completion of this form, your name will be added to our database for current and future work opportunities.  Additional instructions will be given when you submit the form. 

We ask that you put the last 4 digits of your Social Security Number to avoid duplicate applications.  Please contact us with any questions or concerns. We hold your information in the highest regard for the purpose above, nothing you send to us will be given or sold to anyone ever.
First Name:
Last Name:
Date of birth:
Social Security Number (Last 4 Digits):
Address:
City:
State:
Zip Code:
Phone Number:
Email Address:
Education(Check all that you have completed)
High School or GED
Vocational School
College
Electrical Experience
Do you have any electrical construction experience? Yes   No
If yes, how many years total?
Did you serve an electrical apprenticeship? Yes   No   
If yes, what is the name of the apprenticeship school?
Have you ever possessed a County or State Journeymen License? Yes   No
If yes, where?
Have you ever passed an IBEW Local Union Journeymen examination? Yes   No
Employment History:
List your current and/or last three employers:
Name of company(Most recent 1st) Length of Employment Pay Rate Reason for leaving(brief)
Name of company Length of Employment Pay Rate Reason for leaving(brief)
Name of company Length of Employment Pay Rate Reason for leaving(brief)
Which of the following phases of electrical installations have you performed?(Check all that apply)

Conduit bending & installation   Residential Wiring   Transformers   Rigid Conduit

EMT   PVC   PLC's   High Rises   Supervision   Electronic Controls

Hydraulic Conduit Bending   Concrete Slab Installation   Hotels   Tilt-ups

Control Wiring   Industrial Wiring   Alarm Systems   Underground Distribution

Maintenance & Trouble Shooting   Voice Data Video   Service Truck Experience
By submitting this application, I affirm that all statements made by me herein are true, complete, and correct to the best of my knowledge and belief, and are made in good faith to assist the Florida Initiative in determining my proper classification or group in accordance with the referral procedure regulations and that any false statements would be cause for rejection on this application or the removal of name from the referral list and/or discharge from the job.


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