Application to Join

Instructions: After completing this form, you will be contacted by one of our representatives by phone or text to invite you to an informational session to learn what the United Brotherhood of Carpenters has to offer.

Please note: The information you provide is for North Atlantic States Regional Council of Carpenters office use ONLY. Your information will not be shared or sold to any outside parties.

Are you applying as an apprentice or a journeyman?

First Name

Last Name

Email Address

Date of Birth (XX/XX/XXXX)

Social Security Number

Phone Number

Street Address

City

State

County

Zip

Emergency Contact Name

Emergency Contact Number

Preferred Contact Method

Do you have a valid driver's license and reliable transportation? Do you have a valid driver's license and reliable transportation? Yes No

Are you aware that drug testing may be required for employment? Are you aware that drug testing may be required for employment? Yes No

Education Education GED/Highschool Equivalent High School Graduate Career and Technical Education Associate's Degree Bachelor's Degree Post-Graduate Degree

Which program did you complete?

Which degree program did you complete?

Are you active duty military or a veteran? Are you active duty military or a veteran? Active Duty Veteran No

Which Branch? Which Branch? Army Navy Air Force Marine Corps Coast Guard Space Force

What was your MOS?

Type of discharge?

Dates of Service

Gender (Optional)

Race (Optional)

Please list all languages you speak fluently

Please check all construction skills in which you have experience with: Please check all construction skills in which you have experience with: Concrete Forms Hanging Drywall Framing (Wood) Framing (Metal) Finish Carpentry Installing Doors and Hardware Installing Acoustical (Drop) Ceilings Installing and Assembling Furniture Installing Windows Exterior Panels Bridgework Reading Prints Foreman Superintendent Welding Piledriving Millwright Commercial Diving Other

How many sheets of drywall is a good day for you?

Please list other relevant construction skills

Please check all certifications/licenses you currently hold: Please check all certifications/licenses you currently hold: OSHA 10 OSHA 30 Welding Scaffold Erecting CPR/First Aid Fall Protection Lull Operating Boom Lift Operating Scissor Lift Operating Supervisor Commercial Diver Other

Which others?

Name of your most recent employer

Address of your most recent employer

Job title/duties at your most recent employer

Dates worked with your most recent employer

Wages/Salary with your most recent employer

Reason for separation from your most recent employer

Which benefits did you receive with your most recent employer? Which benefits did you receive with your most recent employer? Employer-paid health insurance 401K Bonuses Paid time off

How were you employed with your most recent employer? How were you employed with your most recent employer? 1099 Subcontractor Paid Cash W2 Employee

Name of your second-most recent employer

Address of your second-most recent employer

Job title/duties at your second-most recent employer

Dates worked with your second-most recent employer

Wages/Salary with your second-most recent employer

Reason for separation from your second-most recent employer

Which benefits did you receive with your second-most recent employer? Which benefits did you receive with your second-most recent employer? Employer-paid health insurance 401K Bonuses Paid time off

How were you employed with your second-most recent employer? How were you employed with your second-most recent employer? 1099 Subcontractor Paid Cash W2 Employee

Name of your third-most recent employer

Address of your third-most recent employer

Job title/duties at your third-most recent employer

Dates worked with your third-most recent employer

Wages/Salary with your third-most recent employer

Reason for separation from your third-most recent employer

Which benefits did you receive with your third-most recent employer? Which benefits did you receive with your third-most recent employer? Employer-paid health insurance 401K Bonuses Paid time off

How were you employed with your third-most recent employer? How were you employed with your third-most recent employer? 1099 Subcontractor Paid Cash W2 Employee

How long have you worked as a carpenter? How long have you worked as a carpenter? 1-3 Years 3-5 Years 5-10 Years 10+ Years

How did you hear about the Carpenters Union? How did you hear about the Carpenters Union? From a current member From a co-worker or friend Social media On the radio In the news From an organizer Other

Have you ever been a member of the Carpenters Union Before? Have you ever been a member of the Carpenters Union Before? Yes No

When were you a member?

Which Local were you in?

Did you complete an apprenticeship program?

Could you tell us a little bit more about yourself and your interest in the Carpenter's Union?

Have you ever been a member of any other union? Have you ever been a member of any other union? Yes No

Are you still a member? Are you still a member? Yes No

When were you a member?

Which union were you in?

Did you complete an apprenticeship program?

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