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First Name:
Last Name:
Phone Number:
Email Address:
Last 4 Social Security Number:
Address:
City:
State:
Zip Code:

What is your highest Education Level?

(sample: High School/GED, Vocational, College)

Do you have any electrical experience and how many years?

**Please provide proof of experience with 4 years of W-2, by attaching them to "Attach Files to Form" button, located on top of this form.**

Have you ever worked for or been part of another local union?

What local union were you a part of?

If none, please write N/A

By submitting this application, I affirm that all statements made by me herein are true, complete, and correct to the best of my knowledge and belief, and are made in good faith to assist the Florida Initiative in determining my proper classification or group in accordance with the referral procedure regulations and that any false statements would because for rejection on this application or the removal of name from the referral list and/or discharge from the job.

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IBEW Local 349

East Coast:
1657 NW 17th Ave
Miami, FL 33125
  (305) 325-1330
 
West Coast:
17221 Alico Center Road, Suite 1
Fort Myers, FL 33967
  (239) 482-1700


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