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Union Referral Request Form

SRP considers IBEW Local 266 their agent of choice when referring applicants for entry level positions.

To obtain the Union referral I am agreeing that I intend to be a Union member if I accept an hourly position at SRP.

First Name: *  
Last Name: *  
Address: *
City * ,  State  
Postal Code: *               * Last 4 digits of SSN

Home Phone: *   Cell Phone:  *
E-Mail Address: *  

Please select "Yes" from

the drop down for each

entry level position that

you are interested in

applying for: *

Customer Service Representative 

Equipment Serviceman 

Material Handler


Pump Helper




Already a journeyman: *
If yes, please list trade:    
Did you complete a 4 year apprenticeship? *
Are you currently a Union member? *


If yes, please list the Union and Local #:
Are you bilingual? *
If yes, what language(s)?
Are you a veteran? *
If yes, do you have a DD-214?   
Do you have any relatives who are employed at SRP? *


If yes, give name(s) and relationship(s):

Enter the text shown in the image above.

* Required Fields

I.B.E.W. Local Union 266
1650 N. 36th Street
Phoenix, AZ 85008

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