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IUPAT Member Check In
INDUSTRIAL PAINTERS
DC 91 Employment Referral Information
Areas of Expertise / Experience
*
New Construction
Repaint
Add the experience detail here
*
Check all that are applicable and indicate number of years of experience
*
Brush & Roll painting
Spray Painting airless
conventional
HV LP
Sand blast
Water blast
Asbestos Removal
Lead Abatement
Cleaning
Wet Vac
Dry Vac
Chemical
Water towers
Bridge & Tunnel
Bucket Machining
Power Rodding
Other
Add the experience detail here
*
Can you climb skeleton structural steel & perform from
Swing stages
Boatswains Chair
Lifts
Do you qualify as a Rigger for painting?
Yes
No
Have you done a respirator fit test?
Yes
No
List any certifications of training that would be applicable to this trade (OSHA, First Aid / CPR, boom & scissors, etc.)
CDL Certification
Additional Comments
Separator
Name
Date
Address
City
State
Zipcode
Date of Birth
Sex
Male
Female
Telephone Number
Cell phone Number
E-mail address:
*
Currently Employed?
Yes
No
Splitter
List Current/Past Employers
Employer Name
Employer City / ST:
Employer Telephone
Years / Months Employed
Hourly rate
Separator
Employer Name
Employer City / ST:
Employer Telephone
Years / Months Employed
Hourly rate
Separator
Employer Name
Employer City / ST:
Employer Telephone
Years / Months Employed
Hourly rate
Splitter
Education
GED
High School
College
Vocational
Other
Have you ever been a member of the IUPAT ?
Yes
No
Have you ever been a member of any other union?
Yes
No
Do you have a current valid driver’s license?
Yes
No
Do you have dependable transportation?
Yes
No
Do you have a current drug test card (MICCS, IUCSAT) and / or are willing to drug test to seek employment with one of our Union Contractors?
Yes
No
Are you able to lift at least 70 pounds?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Are you a veteran?
Yes
No
Honorable discharge?
Yes
No
N/A
How did you hear about us?
*
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