Thank you for your interest in working for Illinois Masonry Corporation! Name* First Last Email* Phone*Social Security Number* Date of Birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position Applied for: Are you a Journeyman Bricklayer?* Yes No Are you a Laborer?* Yes No Are you in a Union?* Yes No Upload your Union Certificate Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB, Max. files: 4. Please Upload/attach Union Skills/Certification Here (photo accepted) Your City of Chicago Scaffolding must be current and is required for bricklayer and laborer positions with Illinois Masonry Corp.Union Local #: Company Name #1 How long were you employed there? Company Name #2 How long were you employed there? Company Name #3 How long were you employed there? May we contact your previous employer’s?* Yes No Please type your name.* CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ
