UNITED ASSOCIATION OF JOURNEYMEN AND APPRENTICES OF THE UNITED STATES AND CANADA
Plumbers & Steamfitters Local No. 582
Building Trades Branch
United Association -- A.F.L.-C.I.O. 
3904 W. First  St.  Santa Ana, Ca. 92703
Phone (714) 775-5563  Fax (714) 775-7976 
E-mail: local582@sbcglobal.net  Web Site: www.ua582.com
 
 

Application For Membership
Personal Information 
First Name 
Last Name 
Address 
City   
State 
Zip 
Home Phone
Pager 
Work Phone
Cell Phone
E-mail 
Current Employer
Current Company
Current Wage
Length of Employment
Month(s)  Years(s) 
Please check the following benefits that you recieve 401K 
Profit Sharing 
Employer paid medical for entire family 
Employer paid medical for worker only (family extra) 
Dental 
Vision 
Prescription 
Other 
Previous Employers 
Previous Company
Length of Employment
Month(s)  Years(s) 
Reason for leaving
Previous Company
Length of Employment
Month(s)  Years(s) 
Reason for leaving
Total Years of Experience
Work Experience 
Please choose the number of years for each type of work 
Welder
Carbon Stainless Exotic Alloy
Stick TIG Orbital
MIG Diametric Flux-core
Electronic Beam Sub-Arc Narrow Groove
Plumber
Residential Commercial Industrial
Service Hospital Layout  
 
HVAC
Electronic 
Digital Controls		 Pneumatic 
Controls		 Commercial 
Boiler Service
Refrigeration Centrifugals Air Balancing
Ammonia 
Ref. Sys.		 Chillers Absorptions
Pipefitter
Tubing 
Bender		 Instrument 
Calibration		 Copper solder 
& Sila-flux
Rigger Valve-Tech Cleanroom
PVDF Detailer CAD
Med-Gas    
   
Trade Applicant If applying with with less 5yrs. experince in any of the above skills check this box. 
List Current 
Lic. & Certs.
Education & Training 
Trade School or College:
Years Attended 
Field of Study:
Did you complete 
the program?		 yes no 
Date Completed:
Additional Training:
Additional Information:
How did you learn about our Union? (if referred please state the name of the person who referred you)

After typing in all of your information Please print this form out and mail or fax to:
Local 582
3904 W. First Street
Santa Ana, Ca. 92703
Att: Business Manager
Fax: (714) 775-7976