- IUPAT District Council No. 7

Existing Membership

Are you currently in a trade union? * Yes No If yes, what Local# are you in? If yes, what District Council?

Your Information

First Name * Middle Name * Last Name * Home Address * City * State * ZIP *

Date of Birth * Home Phone * Cell Phone Email Address * Social Security # (last 4) *

Previous Related Employment

Total # years in painter * Are you willing to travel? * Yes No

Employer (most recent) * Street Address * City * State * ZIP * Phone * Length of Employment * Type of Work *

Employer (#2) Street Address City State ZIP Phone Length of Employment Type of Work

Previous Experience

Residential Commercial Industrial Interior stain/varnish Exterior stain Epoxy Airless spray Paper/vinyl hanging Sand blasting Water blasting Platform lift Boom lift Scaffold Swing stage

Confidential Representation Card

Getting involved with IUPAT is completely confidential. When you sign an authorization card, you authorize IUPAT District Council 7 to represent you in collective bargaining with your current and future employers and jobsites. The union will act as your representative to negotiate higher wages, better benefits and safer working conditions that employees will receive.

By checking this box and typing my name below, I am electronically signing my application.

Journeyman painter Application

Existing Membership

Your Information

Previous Related Employment

Previous Experience

Confidential Representation Card