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Member Application Service
Licensed Journeymen Employment Application

WARNING:
  1. All questions in  Bold  must be answered.
  2. Non-response to any aspect of this application will disqualify the application from being posted and/or application for consideration.

APPLICATIONS ARE POSTED FOR SIXTY-TWO (62) DAYS. IF YOU ARE STILL INTERESTED IN HAVING YOUR APPLICATION POSTED, A NEW APPLICATION MUST BE FILED.

Instructions:

  1. Answer ALL questions in  Bold  (If not applicable, fill in with N/A).
  2. Read and sign the Important Information and Conditions of this application and sign the Release.

  I. Personal Information
First Name Middle Initial Last Name
Address
Address 2
City State ZIP
Phone Alt. Phone Miles willing to relocate or commute daily for employment
Email
Have you ever been known by any other name(s) that IEC Oregon member may require to verify information regarding your application?
If yes, identify name(s)
Type of position sought
(Please check all that apply)





(Specify)
Electrical License Number if journeyperson or technician (Current, unexpired licenses only)
If licensed please check all areas of experience that apply
Type # of Years Type # of Years
Are you currently employed? If not, how long since your last employment?
If currently employed, are you willing to resign your current employment if offered a position by an IEC member?
Have you ever been convicted of a crime? (If Yes, please explain)
Please list any certifications, factory sponsored product training, or specialized training you have taken
On what date would you be able to work? Will you work overtime?
Are you available to work
If you have any limitations to availability, please explain
Do you have a valid driver's license? If yes, driver's license number
and issuing state
  II. Employment History
Current or Most Recent Employer
(Part or full time)
Supervisor/Contact Name
Start Date End Date
Start Rate of Pay Last Rate of Pay
Job Title
Job Description
Reason for Leaving
Address
Address 2
City State ZIP
Phone Alt. Phone
2nd Employer (Part or full time)
Supervisor/Contact Name
Start Date End Date
Start Rate of Pay Last Rate of Pay
Job Title
Job Description
Reason for Leaving
Address
Address 2
City State ZIP
Phone Alt. Phone
3rd Employer (Part or full time)
Supervisor/Contact Name
Start Date End Date
Start Rate of Pay Last Rate of Pay
Job Title
Job Description
Reason for Leaving
Address
Address 2
City State ZIP
Phone Alt. Phone
  III. References
Give the names of two persons (not related to you) whom you have known for at least one year.
Name Business Phone
Address Years Acquainted
Name Business Phone
Address Years Acquainted
  IV. Education Information
Education (Mark all that apply)            
Last School Attended
Name of College Credit Hours
Years Attended From To
Degree (if applicable)
Have you ever served an apprenticeship? If so, what craft?
Years Attended From To
Name of sponsoring organization
  Important Information and Conditions
  1. I certify that all statements contained in this application or made in conjunction with it are true and correct, and any misrepresentation or omission of facts called for is grounds for rejection of my application (or will result in dismissal should I be employed) whenever the correct information becomes known to the IEC member.
  2. I apply for this job and understand that the terms and conditions of employment will be communicated by the potential employer prior to acceptance of employment.
  3. I further acknowledge that I understand that my application will be considered active for 62 days from today's date, which is written on the first page of this application form, and that if I wish to be considered for reemployment openings after that 62 day period, I must request and complete another application form.
  4. I acknowledge that I have been told that the IEC is merely a conduit through which applications are made available to IEC members and that IEC and its members do not guarantee or promise that I will be offered employment or even considered for employment by one or more IEC members or my application will be forwarded to a specific IEC member. Rather, I have been told that IEC makes available to its members the active applications on file with the IEC upon request by the member. I also understand that if an IEC member wishes to consider me for employment, I may be required to appear at the member's facility and be interviewed in person before I will be considered for employment by the member. I also understand the member may check my prior employment history, criminal and other background or reference information before a final decision to employ is made. I also understand that the individual IEC member(s) who interview me may obtain applicants from other sources, such as former employees, word of mouth or advertising, and that individual IEC members may have additional employment criteria, experience requirements, testing (including drug testing) or other conditions for employment that may determine whether I have the qualifications for employment and whether I will be chosen from among other qualified applicants.

By signing (typing) my name below, I represent that I have read and understand the above and submit my application under these conditions.

Applicant's Signature Date
  Release (Authorization for Information)

I, do hereby authorize a review and full disclosure of all records concerning me. I authorize the company and its representatives the right to investigate all references and the right to secure consumer reporting, or other agencies, including but not limited to, criminal history and motor vehicle driving records. Furthermore, I authorize all my current and former employers, school officials, instructors, licensing board(s), reporting agencies, or any other persons whether or not named in my application to release any information they may have regarding me, whether or not such information is in their written records; and I hereby release all persons, schools, companies, and law enforcement authorities from any damage whatsoever for issuing this information. A copy of this release form will be valid as an original thereof, even though the said photocopy does not contain an original writing of my signature.

Applicant's Signature (Include middle name)

FAILURE TO SIGN ABOVE WILL RESULT IN NOT BEING POSTED ON THE WEBSITE

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