Welder's Application - Local 798

APPLICATION FOR WELDER MEMBERSHIP
INTO
Pipeliners Local Union 798
Please complete the application and return to Daniel C. Hendrix, Business Manager, Pipeliners Local Union
798, P.O. Box 470798, Tulsa, OK 74147-0798, fax 918-627-9327
Last Name First Name MI
Address
Phone Number
City State Zip
Social Security Number Date of Birth Race/Sex
Have you previously been a member of Local Union 798 Yes ______ No.______
Have you previously been or are you currently a member of the United Association? Yes _____ No ______
Where ________ When _________
(Local)
(Month/Year)
Do you own a welding rig Yes_____ No_____
PIPELINE EXPERIENCE:
List the last five years of experience in the Pipeline Industry.
YEAR CONTRACTORS PIPE SIZE/LENGTH JOB LOCATION

If you do not have Pipeline Experience please list other Pipe Trades Experience:
List the last five Contractors for whom you have worked.
YEAR CONTRACTORS JOB DESCRIPTION JOB LOCATION
References: (Preferably Members of Pipeliners Local Union 798)
1.________________________________________________________________________________________
(Name) (Address) (Phone)
2.________________________________________________________________________________________
(Name) (Address) (Phone)
3.________________________________________________________________________________________
(Name) (Address) (Phone)
4.________________________________________________________________________________________
(Name) (Address) (Phone)
5.________________________________________________________________________________________
(Name) (Address) (Phone)
Where did you hear about Pipeliners Local Union 798?_____________________________________________
_________________________________________________________________________________________
Why do you want to be a member of Pipeliners Local Union 798?_____________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________