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Local Worker Information Form
Elyria School District Elementary Projects

The information provided below will be shared with the pre-qualified contractors bidding the project.
Personal Information:
Name:
Your answer
Address:
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City:
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Phone Number:
Your answer
Email:
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State:
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Zip:
Your answer
Work Experience:
What trades have you worked in? (Please check all that apply.)
Example Projects: (List 3 construction projects you have worked on and include the month/year worked in the space provided below.)
Your answer
Safety
Do you have OSHA 30?
Do you have OSHA 10?
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