EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION
C.M. Armitage Electrical Contracting Inc.

It is the policy of C.M. Armitage Electrical Contracting to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
APPLICANT INFORMATION
Todays Date*

MonthDayYear
Date
Name*

First NameMiddle InitialLast Name
Address*

Street Address

Apartment #

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Social Security Number
E mail Address*
example@example.com
Referred By:
Desired Salary
Per Hour Amount
Date Available

MonthDayYear
Date that you would be able to start working at C.M. Armitage
Position Applied for:
Are you at least 18 Years old?*

YESNO
Are you a citizen of the United States?*

YESNO
If you are NOT a citizen of the United States, are you able to submit proof that you are legally eligible to work in the United States?

YESNO
Have you ever applied to C.M. Armitage before?

YESNO
If so, when?
Approximate date of previous application
Have you ever been convicted of a Felony or Misdemeanor?*

YESNO
If YES, Please Explain:
MILITARY SERVICE
BranchFrom: Date To:Date
Special Training:
Please list any experience or skills that may pertain to this position.
EDUCATION

Education Information:

Rows	School Name	School Address	Graduated? YES	Graduated? NO	From:	To:	Degree
High School
College
Trade

ELECTRICAL EXPERIENCE:
Do you have any electrical experience?*

YESNO
If yes, please list:
PREVIOUS EMPLOYMENT
Company
Job Title
Address
Phone
From: DateTo: Date
May we contact your previous supervisor for a reference?

YESNO
Supervisor
Reason for Leaving
Company
Job Title
Address
Phone
From: DateTo: Date
May we contact your previous supervisor for a reference?

YESNO
Supervisor
Reason for Leaving
Company
Job Title
Address
Phone
From: DateTo: Date
May we contact your previous supervisor for a reference?

YESNO
Supervisor
Reason for Leaving
REFERENCES
Please list two professional references.
Name

First NameLast Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Company
Address
Please attach your resume by uploading file:

Cancelof
CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment has commenced-immediate termination.

I authorize C.M. Armitage Electrical Contracting to contact former employers and educational organizations regarding my employment and education. I authorizemy former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I Understand AND AGREE TO ITS TERMS.
APPLICANT SIGNATURE

Clear
DATE

MonthDayYear
Date
Should be Empty:

EMPLOYMENT APPLICATION

APPLICANT INFORMATION

MILITARY SERVICE

EDUCATION

ELECTRICAL EXPERIENCE:

PREVIOUS EMPLOYMENT

REFERENCES

CERTIFICATION