Employment Application
Please complete as accurately as possible
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Date Available to Start
-
Month
-
Day
Year
Date
Desired Salary
Annual or Hourly
Position Applying For
Are you a US Citizen?
Yes
No
If No, are you authorized to work in the US?
Have you been employed by JL Britt Electric in the past?
Yes
No
Have you ever been convicted of a felony or are you a registered sex offender?
Felon
Sex Offender
Neither
Select education completed
High School Graduate
Trade School Completion
Associate Degree
Bachelor Degree
Other
List High School, College, Etc.
List your past 3 Employers and why you left
List 3 references and their contact info
Military or First Responder Experience?
Military
EMS
Firefighter
Law Enforcement
Other
Do you currently have a valid driver's license?
Yes
No
Do you have a dedicated vehicle for your use?
Yes
No
List below your previous work experience and how you believe that you can be a benefit to our organization.
Submit
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