Membership Application

Documents

  • Valid Driver License W/Photo I.D. (Required)
  • Reference Letters (Can be friends and coworkers, but not family)
  • Copy of High School Diploma and Official Copy of Transcript of High School Grades, if applicable (Call High School you attended and have this mailed to the M.P.J.A.C.)
  • Copy of GED and Official Report of GED Test Results, if applicable.
  • Military Transfer of Discharge Form DD-214, if applicable.
  • $40 Work Keys Fee. Please use the Pay Now button after submitting your application to submit this fee. (ONLY REQUIRED FOR APPRENTICE APPLICATIONS)

THE ABOVE REQUIREMENTS ARE ONLY NEEDED FOR APPRENTICESHIP APPLICATIONS, JOURNEYMAN APPLICATIONS DO NOT REQUIRE THESE FORMS OR PAYMENT TO BE SUBMITTED.

Terms & Conditions

Please read the Terms & Conditions, you will consent to them below.

Adobe Fill & Sign

The apps below will help you fill out the forms and sign them if you do not have a means to do so.

* Required Field
First Name *
Middle Initial
Last Name *
SSN Last 4 *
Address *
City *
State *
Zip *
Date of Birth *
Email Address *
Phone Number *
 
Term *
Plumber Apprentice
Plumber Helper
Plumber Journeyman (5 years or more documented experience)
Service Plumber (5 Years or More Experience)
Service Plumber (Less than 5 Years Experience)
 
Gender *
Female
Male
 
Ethnicity *
African American
Asian
Caucasian
Hispanic
Native American
Other
 
Veteran *
Yes
No
 
Education Level *
GED
High School
Some College
College Graduate
 
How did you hear about us?
Friend
Member
Other
Website
 
Work History
EMPLOYERCityTYPE OF WORKSTART DATEEND DATEREASON FOR LEAVING

I understand and consent to the minimum requirements to be eligible for entry
Yes
No

I understand and consent to the job functions required of me
Yes
No

I understand and consent to a qualifying drug screen
Yes
No

I understand and consent to the Plumber job description and nature of the work
Yes
No

I understand and consent to the guidelines of the Pipe Trades Form
Yes
No
 
Please upload the following documents in PDF format:

Additional Documents

 
I hereby affirm that all the information entered above and submitted by PDF is accurate and complete to the best of my knowledge.