Ohio Pipe Trades Experience Statement

Please select the representative that you have been in contact with.

Please select from dropdown list

Full Name*

First NameMiddle InitialLast NameSuffix

Address

Street Address

Street Address Line 2

CityState

Zip Code

County*

Phone Number*

E-mail

Last four digits of SSN

xxx-xxx-4321

Gender

Date of Birth

MonthDayYear

High School Graduate or GED?*

Do you have additional education?

Any education beyond K thru 12

Please list additional education

Please include All additional Education Vocational,College, ETC

What is your craft classification? (Craft that you have the most experience)*

	.
Plumber
Pipe Fitter / Pipe Welder
Sprinkler Fitter
HVAC Service Tech
Other

Years Experience

1-23-5

Years of Experience*

If you have no experience please vist our apprenticeship tab at www.ohiopipetrades.com for information on how to apply.

Years of experience in the craft you selected

Please select years

Currently Employed?

your employer will not be contacted

Current Employer

Please enter employer name If you are currently employed (Your employer will not be contacted)

How long have you been employed by this employer?

Please select years employed by this company

Current Pay Rate

Pay rate with current employer.

Benifits (with current employer)

	.
Health Insurance
Retirement, 401k, Profit sharing
Vacation
Other

Do you currently hold any of the following OHIO CONSTRUCTION INDUSTRY LICENSING BOARD (OCLIB) or STATE FIRE MARSHAL license / certifications?

	Click to edit
Plumbing
HVAC
Hydronics
Fire Protection

License / Cert. number(s)

Have you ever served in an apprenticeship program?

If you have served in an apprenticeship prgram where?

Please list company, Military or wherever you served an apprenticeship

Did you complete the apprenticeship program?

Please list any other trade related training / certifications that you have

Do you Weld?

Do you Have welding certifications

Please list welding certifications,prcedures & dates

Are you now or have you ever been a member of The United Association of Plumber & Pipe fitters?*

What United Association local are or were you a member of?

Example: UA LU 50

Are you a US Military Veteran?

Type of discharge?

Honorable Discharge, General Discharge

Please attach resume if available.

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Please List Employers & Dates

Please be as detailed as possible

Please list any additional information here