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First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
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California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Iowa
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Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Confirm you Email Address
*
How much and what type experience do you have
Years
Commerical
Years
Industrial
Years
Residential
Years
Please answer the following Questions
*
Can you pass a drug test
Yes
No
Can you pass a background check
Yes
No
Do you have good transportation
Yes
No
Where can you work (City)
*
Charlotte Metro Area
Yes
No
Hickory Area
Yes
No
Greenville SC
Yes
No
Can you Work
*
Days
Yes
No
Nights
Yes
No
Weekends
Yes
No
Overtime
Yes
No
How did you hear about us?
*
Word of Mouth
Internet
90.7 WFAE
102.9 LYTE
96.9 KATT
Time Warner News 14
If you do not live in NC are you planning on relocating?
*
Yes
No
Have you ever been a member of the IBEW, if so what local and when?
*
List your last three contractors you worked for and how long at each one
Contractor
Dates Employed
Rate of Pay
1
Contractor
Dates Employed
Rate of Pay
2
Contractor
Dates Employed
Rate of Pay
3
Contractor
Dates Employed
Rate of Pay
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