Membership Application
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MEMBER LOGIN
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If this is your first time logging in, your
USERNAME
is your
last name
and your
PASSWORD
is your
card number
.
If you do not know your card number, please contact IBEW 474 at (901) 726-4060.
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Password
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Electrician Application
Do you have more than six months of full-time experience installing or repairing electrical systems?
Yes
No
Please use this application if you have had a minimum of six months experience in the electrical construction industry.
If you do not meet this requirement please visit the
Apprenticeship Page
.
Note that
ALL fields
are required.
First Name:*
MI:
Last Name:*
Address:*
City:*
State:*
Zip:*
Years At Address:*
Phone Number:*
Date of Birth:*
Email Address:*
Position Applying For:
Are you employed by an electrical contractor?
Yes
No
How many years have you worked as an electrician?:
EMPLOYMENT HISTORY
Employer:
Start Date?:
End Date?:
Employer:
Start Date?:
End Date?:
Employer:
Start Date?:
End Date?:
Employer:
Start Date?:
End Date?:
Have you ever been certified or ever possessed a Journeyman Electrician License?
Yes
No
Which of the following phases for electrical installations have you performed?
Conduit Bending & Installation
Residential Wiring
Transformers
Rigid
Single Housing
Substations
EMT
Condos
Cable Splicing
PVC
Apartments
Electronic Controls
Hydraulic Conduit Bending
High Risers
PLC’s
Concrete Slab Installation
Hotels
HMI’s
Commercial Installation
Underground Dist
VDV
Industrial Wiring
Overhead Line Work
Alarm Systems
Maintenance & Trouble Shooting
Tilt-ups
Other
Control Wiring
Supervision
If work is unavailable within 60 miles from your home, are you willing to travel?*
Yes
No
60 to 90 miles from home?*
Yes
No
Out of state?*
Yes
No
How did you hear about us?*
Radio
Pandora
XM Radio
YouTube
FaceBook
Other
