Millwright Skill Sheet Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Primary phone number*Primary phone type*HomeCellOther phone numberOther phone typeHomeCellEmail UBC ID#*Local Union #*Ethnicity Asian Hispanic Caucasian African-American Native American Other OtherAre you a veteran?YesNoSkillsYou have experience to accept work in the following:Check all that apply. Bilingual - Spanish (SPANISH) Conveyor Experience (CONVEYOR) ECCS (ECCS) Foreman (COMFOR) Machinist (MACHINIST) Mining Experience (MINING) Paper Machine Experience (PAPER) Precision Optics (POPTIC) Pump Repair (PUMP) Refinery Experience (REFINERY) Regular Dial Alignment (DIALALGN) Roto (laser) Alignment (LASER) Tappi Safe (TAPPISAF) TWIC card holder (TWIC) UPM Blandin Safety Cert (UPM) Turbine Experience Gas (TURBGAS) Hydro (TURBHYDRO) Nuclear Worker Experience (NUKE) Steam (TURBSTM) Wind (TURBWND) You are trained/certified in the following:Check all that apply. Fall Protection (FALLP) First Aid/CPR (FIRSTAID) GE Turbine (GEQUAL) Hazardous Waste Worker (HAZWW) HYTORC Bolting Tech (HYTORC) Machinery Align (MACHALGN) Mechatronics (MECATRON) MSHA (MSHA) MW Optical Align (MWOPTIC) MW Qualification (MWQUAL) Pro 10 (PRO10) Pump Repair (FLSV1) Tower Rescue 1 (TOWRRES1) Tower Rescue 2 (TOWRRES2) Occupied Facilities: Controlled Contaminants Please indicate the welding ability you hold: Welding ExperiencePlease make sure your records are up-to-date. AIR/ARC ARC/STICK MIG TIG Please indicate the welding ability you hold: Welding CertificatePlease make sure your records are up-to-date. ARC/STICK MIG TIG Work areasCheck your PRIMARY work area.*Check ONE ONLY. Refer to the area map found at www.northcountrycarpenter.org/mix2020Area 66Area 67Area 68Area 69Area 70Area 71Area 72Area 73Check any other areas in which you are willing to work.Check as many as apply. Refer to the area map found at www.northcountrycarpenter.org/mix2020. Area 66 Area 67 Area 68 Area 69 Area 70 Area 71 Area 72 Area 73 Type your name below:*By typing my name below, I consent to be contacted via telephone, email, cell phone or text message by the United Brotherhood of Carpenters and Joiners of American and its affiliates, including by auto-dialed or pre-recorded calls. (Please note message and data rates may apply.) I agree that this authorization is in effect until I provide written revocation to NCSRCC, 700 Olive Street, Saint Paul, MN 55130. In addition, I declare that the above skills information is correct to the best of my knowledge.