WESC Employment Application

Wilson Electric Services Corp. is subject to the rules and regulations of Executive Order 11246, as amended, which requires us to maintain a work environment free from discrimination and to take affirmative action in all aspects of employment, including recruitment, hiring, promotion, and training. The government requires us to collect data on race, gender, and ethnicity for purposes of determining the impact of our employment practices. We would appreciate it if you completed the following information to assist us with this requirement. Your response is voluntary, and this self-identification form will be kept separate from your application and will not be a basis for employment decisions.
Name:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Job applied for:
Are you a U.S. Military Service Veteran?
Branch of service:
Dates of Service:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Gender

Other
Race:

Other
Referral Source:

Other
APPLICATION FOR EMPLOYMENT

FEDERAL LAW PROHIBITS DISCRIMINATION ON THE BASIS OF RACE, RELIGION, DISABILITY, SEX, NATIONAL ORIGIN, AGE, AND ANY OTHER PROTECTED CLASS.
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Position Applied for:
Desired Wage or Salary:
Are you at least 16 years old?
Have you ever worked for Wilson Electric Services Corp.?
If yes, please list the dates of prior employment:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Have you ever been convicted of a crime?
If yes, explain the date(s) of the conviction(s), types of conviction(s), whether you have served any time in jail or prison, along with the dates:
Convictions and/or the existence of a criminal record do not constitute an automatic disqualification from employment.

Wilson Electric Services Corp. participates in E-Verify. Information from the I-9 Form will be used to comply with E-Verify rules in order to confirm work authorization.

Are you legally eligible to work in the United States?
Employment History

Please list your last 3 jobs, beginning with the most recent.
1. Company Name:
From:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStart Date
To:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnd Date
Address:
Phone:
Job Title:
Supervisor's Name:
Reason for Leaving:
Starting Wage:
Ending Wage:
2. Company Name:
From:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStart Date
To:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnd Date
Address:
Phone:
Job Title:
Supervisor's Name:
Reason for Leaving:
Starting Wage:
Ending Wage:
3. Company Name:
From:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearStart Date
To:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnd Date
Address:
Phone:
Job Title:
Supervisor's Name:
Reason for Leaving:
Starting Wage:
Ending Wage:
May we contact any of the employers listed above?
Wilson Electric and NETSIAN Technologies Group: Applicant Questionnaire
1. Total years of electrical or low voltage experience:
How many years of that experience is commercial?
2. What areas are you strongest in:
3. Low voltage installation or programming experience (list systems):
4. Do you have a complete set of hand tools?
5. Do you have reliable transportation?
Applicant Signature

Please sign with your pointing device.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearToday's Date
Should be Empty:

APPLICATION FOR EMPLOYMENT

Employment History