{"id":376,"date":"2011-10-05T22:18:38","date_gmt":"2011-10-05T22:18:38","guid":{"rendered":"http:\/\/ibew12.org\/wordpress\/?page_id=376"},"modified":"2016-01-28T23:01:24","modified_gmt":"2016-01-28T23:01:24","slug":"apply-now","status":"publish","type":"page","link":"http:\/\/ibew12.org\/wordpress\/?page_id=376","title":{"rendered":"Apply Now"},"content":{"rendered":"<h2>\n<p>Please fill out the secure application below.<\/p>\r\n<!-- Fast Secure Contact Form plugin 3.0.3.2 - begin - FastSecureContactForm.com -->\r\n<a name=\"FSContact1\" id=\"FSContact1\"><\/a>\r\n<div style=\"width:375px;\">\r\n\r\n<form action=\"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F376#FSContact1\" id=\"si_contact_form1\" method=\"post\">\r\n<div style=\"text-align:left;\">\n<span class=\"required\"> *<\/span>(denotes required field)\r\n   <\/div>\r\n\r\n         <div>\r\n               <input type=\"hidden\" name=\"si_contact_CID\" value=\"1\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_name1\">Name:<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_name1\" name=\"si_contact_name\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_email1\">E-Mail Address:<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"email\" id=\"si_contact_email1\" name=\"si_contact_email\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <BR><strong>Address<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_1\">Street<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_1\" name=\"si_contact_ex_field1\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_2\">City<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_2\" name=\"si_contact_ex_field2\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_3\">State<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_3\" name=\"si_contact_ex_field3\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_4\">Zip Code<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_4\" name=\"si_contact_ex_field4\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_5\">Length of time at current address<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_5\" name=\"si_contact_ex_field5\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <BR>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_6\">Phone Number<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_6\" name=\"si_contact_ex_field6\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_7\">Date of birth<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_7\" name=\"si_contact_ex_field7\" value=\"mm\/dd\/yyyy\"  size=\"15\"  \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_8\">City and State of birth<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_8\" name=\"si_contact_ex_field8\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_9\">Position applying for<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_9\" name=\"si_contact_ex_field9\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_10\">How many years have you worked as an electrician?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_10\" name=\"si_contact_ex_field10\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_11\">Did you serve an apprenticeship?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_11\" name=\"si_contact_ex_field11\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_12\">Did you receive a completion certificate?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_12\" name=\"si_contact_ex_field12\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_13\">How many years did you attend?<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_13\" name=\"si_contact_ex_field13\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_14\">Which company sponsored you?<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_14\" name=\"si_contact_ex_field14\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <BR><strong>Location of apprenticeship school<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_15\">City<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_15\" name=\"si_contact_ex_field15\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_16\">State<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_16\" name=\"si_contact_ex_field16\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_17\">Have you ever passed an examination given by an IBEW Local Union?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_17\" name=\"si_contact_ex_field17\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_18\">Have you ever been certified or possessed a journeyman electrician license?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_18\" name=\"si_contact_ex_field18\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label>Which of the following phases of electrical installations have you performed?<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_1\" name=\"si_contact_ex_field19_1\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_1\">Conduit bending & Installation<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_2\" name=\"si_contact_ex_field19_2\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_2\">Rigid<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_3\" name=\"si_contact_ex_field19_3\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_3\">EMT<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_4\" name=\"si_contact_ex_field19_4\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_4\">PVC<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_5\" name=\"si_contact_ex_field19_5\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_5\">Hydraulic conduit bending<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_6\" name=\"si_contact_ex_field19_6\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_6\">Concrete slab installation<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_7\" name=\"si_contact_ex_field19_7\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_7\">Commercial lighting<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_8\" name=\"si_contact_ex_field19_8\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_8\">Industrial wiring<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_9\" name=\"si_contact_ex_field19_9\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_9\">Maintenance & troubleshooting<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_10\" name=\"si_contact_ex_field19_10\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_10\">Control wiring<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_11\" name=\"si_contact_ex_field19_11\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_11\">Residential wiring<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_12\" name=\"si_contact_ex_field19_12\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_12\">Single housing<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_13\" name=\"si_contact_ex_field19_13\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_13\">Condos<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_14\" name=\"si_contact_ex_field19_14\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_14\">Apartments<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_15\" name=\"si_contact_ex_field19_15\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_15\">High rises<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_16\" name=\"si_contact_ex_field19_16\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_16\">Hotels<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_17\" name=\"si_contact_ex_field19_17\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_17\">Underground dist.<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_18\" name=\"si_contact_ex_field19_18\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_18\">Overhead line work<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_19\" name=\"si_contact_ex_field19_19\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_19\">Tilt-ups<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_20\" name=\"si_contact_ex_field19_20\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_20\">Supervision<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_21\" name=\"si_contact_ex_field19_21\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_21\">Transformers<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_22\" name=\"si_contact_ex_field19_22\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_22\">Substations<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_23\" name=\"si_contact_ex_field19_23\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_23\">Cable splicing<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_24\" name=\"si_contact_ex_field19_24\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_24\">Electronic controls<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_25\" name=\"si_contact_ex_field19_25\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_25\">PLC's<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_26\" name=\"si_contact_ex_field19_26\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_26\">HMI's<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_27\" name=\"si_contact_ex_field19_27\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_27\">VDV<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_28\" name=\"si_contact_ex_field19_28\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_28\">Alarm systems<\/label><\/span>\n                <br \/>\n                <span style=\"white-space:nowrap;\"><input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_19_29\" name=\"si_contact_ex_field19_29\" value=\"selected\"   \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_19_29\">Other<\/label><\/span>\n        <\/div>\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_20\">Are you currently employed by an electrical contractor?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_20\" name=\"si_contact_ex_field20\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         If work is unavailable within 60 miles from your home, are you willing to travel:\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_21\">60 to 90 miles from home?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_21\" name=\"si_contact_ex_field21\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_22\">Other areas within the state?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_22\" name=\"si_contact_ex_field22\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_23\">Out of state?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_23\" name=\"si_contact_ex_field23\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_24\">Do you have a state drivers' license?<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n               <select style=\"text-align:left; margin:0;\" id=\"si_contact_ex_field1_24\" name=\"si_contact_ex_field24\">\r\n                  <option value=\"Yes\">Yes<\/option>\n          <option value=\"No\">No<\/option>\n           <\/select>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <strong>Education and Work History<BR>Education<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_25\">High School<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_25\" name=\"si_contact_ex_field25\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_26\" name=\"si_contact_ex_field26\" value=\"selected\"  \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_26\">Graduated?<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_27\">City & State<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_27\" name=\"si_contact_ex_field27\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_28\">College<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_28\" name=\"si_contact_ex_field28\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_29\">Degree<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_29\" name=\"si_contact_ex_field29\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_30\" name=\"si_contact_ex_field30\" value=\"selected\"  \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_30\">Graduated?<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_31\">Trade School<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_31\" name=\"si_contact_ex_field31\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_32\">Specialty<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_32\" name=\"si_contact_ex_field32\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_33\" name=\"si_contact_ex_field33\" value=\"selected\"  \/>\r\n                <label style=\"display:inline;\" for=\"si_contact_ex_field1_33\">Graduated?<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <strong>Employer 1<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_34\">Employer<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_34\" name=\"si_contact_ex_field34\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_35\">Dates of Employment<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_35\" name=\"si_contact_ex_field35\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_36\">Wage Rate<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_36\" name=\"si_contact_ex_field36\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_37\">Type of Work<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_37\" name=\"si_contact_ex_field37\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <Strong>Employer 2<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_38\">Employer<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_38\" name=\"si_contact_ex_field38\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_39\">Dates of Employment<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_39\" name=\"si_contact_ex_field39\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_40\">Wage Rate<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_40\" name=\"si_contact_ex_field40\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_42\">Type of Work<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_42\" name=\"si_contact_ex_field42\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left;\">\r\n         <strong>Employer 3<\/strong>\r\n        <\/div>\r\n        \r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_43\">Employer<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_43\" name=\"si_contact_ex_field43\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_44\">Dates of Employment<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_44\" name=\"si_contact_ex_field44\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_45\">Wage Rate<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_45\" name=\"si_contact_ex_field45\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_46\">Type of Work<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_46\" name=\"si_contact_ex_field46\" value=\"\"  size=\"40\" \/>\r\n        <\/div>\r\n\r\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/ibew12.org\/wordpress\/wp-content\/plugins\/si-contact-form\/date\/ctf_epoch_styles.css?1778808046\" \/>\r\n<script type=\"text\/javascript\">\r\n\tvar ctf_daylist = new Array( 'Su','Mo','Tu','We','Th','Fr','Sa','Su','Mo','Tu','We','Th','Fr','Sa' );\r\n\tvar ctf_months_sh = new Array( 'Jan','Feb','Mar','Apr','May','Jun','Jul','Aug','Sep','Oct','Nov','Dec' );\r\n\tvar ctf_monthup_title = 'Go to the next month';\r\n\tvar ctf_monthdn_title = 'Go to the previous month';\r\n\tvar ctf_clearbtn_caption = 'Clear';\r\n\tvar ctf_clearbtn_title = 'Clears any dates selected on the calendar';\r\n\tvar ctf_maxrange_caption = 'This is the maximum range';\r\n    var ctf_cal_start_day = 0;\r\n    var ctf_date_format = 'm\/d\/Y';\r\n<\/script>\r\n<script type=\"text\/javascript\" src=\"http:\/\/ibew12.org\/wordpress\/wp-content\/plugins\/si-contact-form\/date\/ctf_epoch_classes.js?1778808046\"><\/script>\r\n<script type=\"text\/javascript\">\r\nvar dp_cal1_7;\nwindow.onload = function () {\r\ndp_cal1_7  = new Epoch('epoch_popup1_7','popup',document.getElementById('si_contact_ex_field1_7'));\n};\n<\/script>\n\r\n<div style=\"text-align:left; padding-top:5px;\"> <\/div>\r\n <div style=\"width:250px; height:65px; padding-top:2px;\">\r\n    <img loading=\"lazy\" decoding=\"async\" class=\"ctf-captcha\" id=\"si_image_ctf1\" style=\"border-style:none; margin:0; padding:0px; padding-right:5px; float:left;\" src=\"http:\/\/ibew12.org\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix=KZRyiACb7OPmv6yn\" width=\"175\" height=\"60\" alt=\"CAPTCHA Image\" title=\"CAPTCHA Image\" \/>\n    <input id=\"si_code_ctf_1\" type=\"hidden\" name=\"si_code_ctf_1\" value=\"KZRyiACb7OPmv6yn\" \/>\n    <div id=\"si_refresh_ctf1\">\n      <a href=\"#\" rel=\"nofollow\" title=\"Refresh Image\" onclick=\"si_contact_captcha_refresh('1','noaudio','\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha','http:\/\/ibew12.org\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix='); return false;\">\n      <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/ibew12.org\/wordpress\/wp-content\/plugins\/si-contact-form\/captcha\/images\/refresh.png\" width=\"22\" height=\"20\" alt=\"Refresh Image\" style=\"border-style:none; margin:0; padding:0px; vertical-align:bottom;\" onclick=\"this.blur();\" \/><\/a>\r\n   <\/div>\r\n   <\/div>\r\n\r\n      <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_captcha_code1\">CAPTCHA Code:<span class=\"required\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0; width:50px;\" type=\"text\" value=\"\" id=\"si_contact_captcha_code1\" name=\"si_contact_captcha_code\"  size=\"6\" \/>\r\n       <\/div>\r\n\n\r\n<div style=\"text-align:left; padding-top:2px;\">\r\n  <input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\r\n  <input type=\"hidden\" name=\"si_contact_form_id\" value=\"1\" \/>\r\n  <input type=\"submit\" id=\"fsc-submit\" style=\"cursor:pointer; margin:0;\" value=\"Submit\" \/> <\/div>\r\n\r\n<\/form>\r\n<\/div>\r\n<!-- Fast Secure Contact Form plugin 3.0.3.2 - end - FastSecureContactForm.com -->\r\n<\/h2>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":777,"featured_media":0,"parent":210,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-376","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/777"}],"replies":[{"embeddable":true,"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=376"}],"version-history":[{"count":5,"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/376\/revisions"}],"predecessor-version":[{"id":3427,"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/376\/revisions\/3427"}],"up":[{"embeddable":true,"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/210"}],"wp:attachment":[{"href":"http:\/\/ibew12.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}