Fillable Plumbers & Steamfitters Local 400 Career Open House

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Plumbers & Steamfitters Local 400 Career Open House

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Plumbers & Steamfitters Local 400
Pathway to the Pipe Trades
Contact Person: Dustin Delsman
PO Box 530 Kaukauna, WI 54130-0530
Phone Number: (920) 462-0409
E-Mail: dustin@ua400.org
Application for Employment with a Signatory Contractor
An Equal Opportunity Employer: All signatory contractors are equal opportunity employers. This application
will be forwarded to them for employment consideration. This application will not be used for limiting or
excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal
law. Applicants requiring reasonable accommodation in the application and/or interview process should notify
a representative of the organization.
Date:
Name:
Last
First
Middle Initial
Address:
Street
State
Zip Code
Phone Number:
Email Address:
Are you eligible to work in the United States:
Yes
No
Do you have a high school diploma or equivalent:
Yes
No
Are you a veteran of the U.S. Armed Forces?
Yes
No
What date are you available to start work:
Are you available to work:
Full Time (5-8s, 4-10s, etc.)
Part-Time
Seasonal (Summer)
(check all that apply)
Overtime (5-10s, 5-12s, etc.)
Weekends
1
st
Shift
2
nd
Shift
PREFERRED POSITION/TRADE:
Pre-Apprentice: An entry-level position with the goal of being awarded an Apprenticeship to become
a Building Trades Journeyperson. Duties may include loading, unloading, moving, organizing, and
delivering materials and/or tools on a construction site and/or in a fabrication shop; housekeeping;
building and taking down scaffold; core drilling; busting concrete; drilling holes to install anchors;
putting up hangers/supports; digging ditches for underground plumbing; assisting in demolition of
mechanical systems, etc.
Please select desired Apprenticeship(s) below:
Fabricator
HVAC/R Service Technician
Plumber
Steamfitter
Metal Trades: A fabrication shop position working in connection with the making of pipe bends,
fabrication of piping and other miscellaneous products. Duties may include unloading, handling,
placing of piping, valves, fittings, etc. into stockpiles or bins, which will be fabricated into assemblies
or formations; loading, unloading, moving, organizing, and delivering materials and/or tools in a
fabrication shop; operating of cranes, fork lifts/tow motors, trucks and other shop handling equipment
(safety certification needed); refacing of flanges on a drill press, lathe or boring mill; cutting,
beveling, threading, bending and welding of pipe; grinding, cleaning, blasting, painting, marking of
pipe; plugging ends, disassembling/assembling and protecting valves, piping, etc.
EDUCATION:
Name of School
Type of Degree Achieved
Degree Name
Page 2 of 2
SKILLS AND QUALIFICATIONS:
Associate’s Degree in HVAC/R Service
Design Software (Acorn, CAD, BIM, Bluebeam, Revit, etc.)
EPA (Sec. 608)
First Aid/CPR/AED Certification
Foreman/Superintendent
General Welding Experience
Hydrostatic Testing
OSHA 30 Construction Certification
Post Weld Heat Treatment
Robotic Total Station (RTS)
WI Plumbing License
WI Structural Weld Certification
Pipe Welding Experience:
Flux Core
Some Knowledge
Skilled
MIG Welding
Some Knowledge
Skilled
Stick Welding
Some Knowledge
Skilled
TIG Welding
Some Knowledge
Skilled
Other:
EMPLOYMENT HISTORY:
Present or Most Recent Position:
Employer
City & State
Position Title:
Dates of Employment:
From
To
Responsibilities:
Reason for Leaving:
Previous Position:
Employer
City & State
Position Title:
Dates of Employment:
From
To
Responsibilities:
Reason for Leaving:
REFERENCES:
Name
Title
Phone Number
Email Address
I certify that information contained in this application is true and complete. I understand that false information
may be grounds for not hiring me or for immediate termination of employment at any point in the future if I
am hired. I authorize the verification of any or all information listed above.
Signature of Applicant
Date
You will be receiving a confirmation email within 1 business day of submission from career@ua400.org; check
your inbox and/or spam email messages. If you do not receive the email, please call 920-462-0400, ext. 0.
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Plumbers & Steamfitters Local 400 Career Open House

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Completed 27 July 2021

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