I.B.E.W. Local Union 266

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

Messenger

Pump Helper

Tradeshelper

Utilityman

Warehouseman

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):

Comments:

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* Required Fields