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?YesNoI am a:*JourneymanApprenticeApprentice LevelSkillsYou are skilled/qualified to accept work in these skills:Check all that apply. Bilingual - Spanish (SPANISH) Blueprints (BLUPRNT) Can Line Experience (CANLINE) Cleanroom (CLNRM) Conveyor Experience (CONVEYOR) Foreman (COMFOR) Gas Turbine Experience (TURBGAS) Hydro Turbine Experience (TURBHYDRO) Machinist (MACHINIST) Mining Experience (MINING) Nuclear Worker Experience (NUKE) Paper Machine Experience (PAPER) Precision Optics (POPTIC) Pump Repair (PUMP) Refinery Experience (REFINERY) Regular Dial Alignment (DIALALGN) Roto (laser) Alignment (LASER) Steam Turbine Experience (TURBSTM) Tappi Safe (TAPPISAF) Torch Cutting (TORCHCUT) TWIC card holder (TWIC) UPM Blandin Safety Cert (UPM) Westinghouse (WESTIN) Wind Turbine Experience (TURBWND) Qualifications/CertificationsThe following qualifications/certifications will be verified through the TRAIN educational system. Please make sure your records are up-to-date. Check all that apply. Aerial Lift (AERLIFT) COIN Certified (COIN) Confined Space (CONFINED) ECCS (ECCS) E-Rail Safe (ERAIL) Fall Protection (FALLP) First Aid/CPR (FIRSTAID) Forklift - Industrial (PITOIND) Forklift - Rough Terrain (PITORT) 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) OSCA Cert (OSCA) OSHA 10 (OSHA10) Millwright 16 (MW16) OSHA 30 (OSHA30) Pro 10 (PRO10) Pump Repair (FLSV1) Residential Preference Program (RPP) Rigging (RIGGING) Scaffold Erector (SCAFFOLD) Scaffold User (SCAFUSER) Steward (STEWARD) Superintendent (SCT) Tower Rescue 1 (TOWRRES1) Tower Rescue 2 (TOWRRES2) Welding CertificationsThe following qualifications/certifications will be verified through the TRAIN educational system. Please make sure your records are up-to-date. Check all that apply. AWS GMAW 2G (Limited) AWS GMAW 2G (Unlimited) AWS GMAW 3G (Limited) AWS GMAW 3G (Unlimited) AWS GMAW 3G & 4G (Limited) AWS GMAW 3G & 4G (Unlimited) AWS GMAW 6G (Limited) AWS GMAW 6G (Unlimited) AWS WELDCERT LH (Light to Heavy) AWS GTAW 2G (Limited) AWS GTAW 2G (Unlimited) AWS GTAW 3G (Limited) AWS GTAW 3G (Unlimited) AWS GTAW 3G & 4G (Limited) AWS GTAW 3G & 4G (Unlimited) AWS GTAW 6G (Limited) AWS GTAW 6G (Unlimited) AWS CWI (Certified Welding Inspector) AWS SMAW 2G (Limited) AWS SMAW 2G (Unlimited) AWS SMAW 3G (Limited) AWS SMAW 3G (Unlimited) AWS SMAW 3G & 4G (Limited) AWS SMAW 3G & 4G (Unlimited) AWS SMAW 6G (Limited) AWS SMAW 6G (Unlimited) AWS CAWI (Certified Assoc. Welding Inspector) Work areasCheck your PRIMARY work area.*You may only choose one area that you consider your PRIMARY work area. 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 OR: Check here if you are unwilling to travel outside of your PRIMARY work area.Only check this if you are unwilling to travel. I am unwilling to travel outside of my PRIMARY work area 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.