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First Name   *   (Legal) You will have the opportunity later to add a preferred name
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Required
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Middle Name(s)   (Legal)
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Last Name  *   (Legal)
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Required
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Suffix
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Date of Birth  *
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Required
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Mailing Address Line 1 *
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Required
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Mailing Address Line 2
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City *
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State *
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Required
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Required
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Zip Code *
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Invalid Format Required
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Cell Phone *
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Home Phone   (If Applicable)
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Invalid Phone Num - must be 10 digits Required
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Invalid Phone Num - must be 10 digits
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Email *
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Social Security Number *
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Invalid Format Required
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Required
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I am by occupation *   (The position you will be joining Local 111 as.)
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Required
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If you also work as any of the other categories listed, please specify
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have worked in the Entertainment Industry 1: *
  (Only Commercial Production Companies)
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Required
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Other: If you also work as any of the other categories listed, please specify
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have worked in the Entertainment Industry 2:
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have worked in the Entertainment Industry 3:
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I am presently employed by: *
If not currently working on a commercial, please list the last commercial production company where you worked
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Required
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Other: If you also work as any of the other categories listed, please specify
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You have indicated that you have not worked for any of the companies listed that currently recognize Local 111 as a joint bargaining unit.
Please be sure that you understand the terms on the first page of this form to be sure joining I.A.T.S.E. Local 111 is the right choice for you.
The application fee is non-refundable. Please confirm that you understand.
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as a: *
Specify Occupation for that employment
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Required
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I have previously applied for membership in a Local Union or Department of the I.A.T.S.E.? *
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Was this Application rejected?*
This application is for Journeyman or Apprentice?*
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Initiation Fee
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