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WIREMAN INFORMATION FORM

(Organizing Department)

FAX #: (626) 792-3107 PHONE #: (626) 793-9697

 

PERSONAL INFORMATION

Name:

Date Of Birth(dd-mm-yyyy):

Mailing Address:

Email Address:

Daytime Phone:

RELATED EDUCATION:(High School, G.E.D., Trade School, Other, Algebra)

ELECTRICAL EXPERIENCE:

Are you currently employed?(Yes/No)

Currently enrolled or completed ABC Apprenticehip?(Yes/No)

  • Print out this form, and fax it to us if you feel uncomfortable sending it through this page.