Journeyman sign-display Application

Please complete the following application for your trade. A representative from IUPAT will follow up with you regarding your application.

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 sign-display * 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

Need checkbox options from client

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.