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Application for Journeyman Electrician's License

Step 1    Applicant MUST select ONLY ONE option.

Step 2:    Applicant MUST attach a Passport size picture to the application.

Step 3:    Applicant MUST provide applicant's Full name (Last, First and Middle Initial)

Step 4:    Applicant MUST provide his/her date of birth in the MM/DD/YYYY format

Step 5:    Applicant MUST provide applicant's age

Step 6:    Applicant MUST provide applicant's valid current Driver's License number

Step 7:    Applicant MUST provide applicant's complete telephone number (10 digit phone number is REQUIRED which MUST include the area code).

Step 8:    Applicant MUST provide complete E-Mail address

Step 9:    Applicant MUST provide applicant's complete current valid address. Provide Street Name, City and State

Step 10:    Applicant MUST provide valid current Zip Code (if known, enter the 9 digit Zip Code information: for example :48206-1234")

Step 11:    Applicant MUST provide the total number of years and months lived in the current residence

Step 12:    Applicant MUST provide current employer name

Step 13:    Applicant MUST provide current employer address

Step 14:    Applicant MUST provide current employer's valid telephone number (10 digit phone number is REQUIRED which MUST include the area code).

Step 15:    Applicant MUST select Yes OR No

Step 16:    Applicant MUST select Yes OR No

Steps 17-22 are for Transfer applicant's ONLY.

Step 17:    Name of Municipality or Community that issued the Original Journeymans License
For Eg: State of Michigan, Grand Rapids, etc.
Note: If Applicant is transferring from another state, applicant would have to go through the process of testing in State of Michigan or City or Detroit depending on where the applicant is transferring

Step 18:    Name of State where the Journeyman License was issued
For Eg: State of Michigan,State of Illinois, etc.
Note: If Applicant is transferring from another state, applicant would have to go through the process of testing in State of Michigan or City or Detroit depending on where the applicant is transferring

Step 19:    Applicant MUST provide valid Journeyman Electrician's License Number

Step 20:    Applicant MUST provide the issue date of the Journeyman Electrician's License in MM/DD/YYYY format

Step 21:    TO BE COMPLETED BY ELECTRICAL CLERICAL STAFF FROM THE ELECTRICAL DIVISION

Step 22:    TO BE COMPLETED BY ELECTRICAL CLERICAL STAFF FROM THE ELECTRICAL DIVISION

Step 23:    Applicant MUST sign and confirm the information provided above is true to the best of applicant's knowledge. DO NOT PRINT.

Step 24:    TO BE COMPLETED BY EXAMINING BOARD ONLY

Step 25:    Applicant MUST provide where the Journeyman Examination application was previously made

Note: List ALL, if more than one Master Examination applications made
Step 26:    Applicant MUST provide the date (MM/DD/YYY) of when the previous Journeyman Examination application was made

Note: List ALL dates, if more than one Master Examination applications made
Step 27:    TO BE COMPLETED BY EXAMINING BOARD ONLY

Step 28:    TO BE COMPLETED BY EXAMINING BOARD ONLY

Step 29:    TO BE COMPLETED BY EXAMINING BOARD ONLY

Step 30:    TO BE COMPLETED BY EXAMINING BOARD ONLY

Step 31:    FOR CLERICAL USE ONLY