PES Job Application

Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.
Personal Information
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number
Cell Phone
Are you eligible to work in the United States?*

YesNo
If you are under age 18, do you have an employment/age certificate?*

YesNo
Have you ever been convicted of or pleaded no contest to a felony within the last five years?

YesNo
If Yes, Please explain:
Do you have a valid driver's license?*

YesNo
Position/Availability:
Position Applied For:*
Days Available*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Hours Available:
From*
From
To*
Can you work late when asked?*
What date are you available to start work?*

MonthDayYear
Date
Education:
Name and Address of School- Degree/Diploma- Graduation Date*
Skills and Qualifications: Licenses, Skills, Training, Awards*
Employment History
Present or Last Employer
Employer*
Address*
Supervisor*
Phone*
Position Title*
From*
To*
Responsibilities*
Salary*
Reason for Leaving*
Previous Employer:
Employer*
Address*
Supervisor*
Phone*
Position Title*
From*
To*
Responsibilities*
Salary*
Reason for Leaving*
May We Contact Your Present Employer?*

YesNo
References:
Please provide 3 character references: Name/Title/Address/Phone
Reference #1*
Reference #2*
Reference #3*
Driving History/Current Tickets*
I certify that the information contained in this document is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Signature

Clear
Date*

MonthDayYear
Date
Please return by mail or e-mail to: Precision Electrical Systems 154 W Haven Ave. South Salt Lake, UT 84115 (801) 948-4038 e-mail: admin@wireforyou.com
Please verify that you are human*
For faster review and processing, please email a copy to admin@wireforyou.com after pressing Submit
Should be Empty:

Personal Information

Position/Availability:

Hours Available:

Education:

Employment History

Present or Last Employer

Previous Employer:

References: