2025/09/03 Council Agenda Packet

Core Employee Contractor(s) or Sub Contractor(s) employing Core Employees must complete the following documentation. Core Employee(s) must place their names with the respective Union Hall dispatch prior to the employee(s) start of work. Core employee information provided by Email Address Core employee information verified by Core Employee #1 Employee Name: Hire Date: Classification: The employee has met the qualifications contained in the CWA/PLA Yes No Core Employee #2 Employee Name: Hire Date: Classification: The employee has met the qualifications contained in the CWA/PLA Yes No Core Employee #3 Employee Name: Hire Date: Classification: The employee has met the qualifications contained in the CWA/PLA Yes No Core Apprentice #1 (if eligible) Employee Name: Hire Date: Apprentice ID# Classification: Zip Code: The employee has met the qualifications contained in the CWA/PLA Yes No Core Apprentice #2 (if eligible) Employee Name: Hire Date: Apprentice ID# Classification: Zip Code: The employee has met the qualifications contained in the CWA/PLA Yes No Form completed by print name date Signature 29 4 of 4