IBEW 110

Employer Request for Journey Level Workers

Please complete and submit to request employees.

All requests must be submitted by 3:00 p.m. Monday – Friday. Requests received after 3:00 p.m. will be addressed on the next business day.

Employer Details

Date

* Employer Name

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* Street

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* City

* State

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* Zip Code

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* Person Making Request

* Email You Would Like Referral(s) Sent To:

Second Email (Optional)

* Contact Person Phone Number:

* Shop Phone Number:

Job Details

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* Number Of Journey Level Workers Needed

Type of Work (Select all that apply) atleast one is required

Commercial	Industrial	Residential	Maintenance
Jobbing	Controls	Street Utility Underground	HVAC Controls	Building Automation Controls

* Date To Report

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* Start Time

* Report To

Job Site Shop

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* Person To Report To

* Jobsite Location: (THE SHOP ADDRESS IS NOT ACCEPTABLE)

If you do not have an address, please put a geographical location, ie. Metro, South Metro, St. Paul, etc. A Jobsite Location is required.

Hours of Work

1st Shift Start Time –

2nd Shift Start Time – and Sun – Thurs or Mon – Fri or

3rd Shift Start Time – and Sun – Thurs or Mon – Fri or

* Is This Job A Short Call: (14 Calendar Days or Less)

Yes No

Special Requests: (Only one per request)

Note: Documentation for special requests must be emailed to referral@ibew110.org for verification. This information must come from the bid specs. If it is not received prior to 3:00 p.m., your call will not be run.

Female

Minority

Section3

Cancel and Exit

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