Local 445 Power Plant Registration Name Information First Name (required) Middle Name Last Name (required) Address Information Street 1 Street 2 City State Zip Code Personal Information UBC Number Gender? MaleFemale Date of Birth Telephone Number (including area code) Email Address Professional Information Are you an Apprentice or Journeyman? ApprenticeJourneyman If apprentice, what year? Are you a US citizen? YesNo Are you new to the Susquehanna Power Plant? YesNo Are you new to a nuclear facility? YesNo Do you have OSHA 10? YesNo Do you have a valid scaffold certification card? YesNo Are you currently Red Badged? YesNo Last date in a nuclear facility
