Journeyman Lineman, Substation Technician and Underground Technician

 Applicant Information

This form requires attachments to be uploaded before it can be submitted. Please upload your license, DOT medical certificate and all applicable certifications to this form.

**WARNING: The maximum size limit for documentation is 36 MB and only 10 uploads are allowed**

First Name:
Middle Name:
Last Name:
Email Address:
Telephone Number:
Last 4 SSN:
Date of Birth:
Address:
City:
State:
Zip:
County:
Do you have a Class A Commercial Driver's License?	CHOOSE ONEYESNO
Do you have an up-to-date Department of Transportation Medical Certificate?	CHOOSE ONEYESNO
Have you ever been a member of the IBEW before?	CHOOSE ONEYESNO
If you have been a member of the IBEW before, which IBEW Local?
Most recent employer:
Have you ever been previously enrolled in a Journeyman Apprenticeship Program?	CHOOSE ONEYESNO
If you have been previously enrolled in a Journeyman Apprenticeship Program, which one were you enrolled in?
How many hours have you worked in the electrical industry?  *proof will be required*
List your experience and include any and all special skills:   (upload the certifications you hold along with this form)
	Enter the text shown in the image above.

Thank you for your interest in the IBEW!

Please allow 1-2 business days from the date of your submission to receive a reply from our Organizer letting you know your information has been received. If you do not receive an email notifying you your submission has been received, it could have been too large to send.