Interview

Local 22 Plumbers and Steamfitter Interview

In an effort to reduce the risk of COVID-19 exposure to Local 22 Plumbers and Steamfitters members, all people entering must complete the following screening questions:

Date

Time

Applicant Name *

Phone *

Self-Declaration by Applicant

Have you experienced COVID-19 symptoms in the past 14 days? (symptoms include but are not limited to: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea) *

Yes

No

Have you had close contact with or care for someone diagnosed with COVID-19 within the last 14 days? *

Yes

No

Have you tested positive for COVID-19 in the past 14 days? *

Yes

No

Applicants answering yes to any of the above questions will not be permitted access to Local 22 Plumbers and Steamfitter's facility.

By clicking the 'Submit' button below, I declare that the information I have provided is true.

For internal use:

Time In

Time Out

Employee Name

Local 22 Plumbers and Steamfitter Interview

In an effort to reduce the risk of COVID-19 exposure to Local 22 Plumbers and Steamfitters members, all people entering must complete the following screening questions:

Self-Declaration by Applicant

For internal use:

U. A. Plumbers & Steamfitters Local 22

Location

Phone

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