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* 1. Enter your first name:

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* 2. Enter your last name:

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* 3. What is your email address?

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* 4. What is your phone number?

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* 5. Where do you live?

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* 6. If District Resident, which Ward do you live in?

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* 7. Do you hold any of these certifications? (check all that apply)

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* 8. Briefly describe any construction experience you have:

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* 9. If Apprentice or Journey work, what trade (electrical, carpentry, etc.)

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* 10. Do you have a resume?

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