Employment Application

Employment Application

Thanks for your interest in joining our team! We look forward to learning more about you.
Central Contractors has been delivering quality electrical solutions since 1983, over 40 years in case you're counting. We are committed to quality, integrity, and safety on every job, no matter the size. If you're interested in joining a growing company dedicated to its employees and customers, you're in the right place. We're glad you're here!

Before you get started, here are some things you should know:
- Central Contractors is a drug-free workplace, and we conduct pre-employment and post-employment testing.
- We require all applicants to undergo a background screening prior to hire.
- We participate in E-Verify, in accordance with federal guidelines. To learn more about E-Verify, visit: dhs.gov/e-verify.
Central Contractors is an equal opportunity employer. We comply with all applicable Federal, State, and Local laws concerning discrimination in employment. No question in this application is inteded to elicit information in violation of any such law, nor will any information obtained in response to questions be used in violation of any such law.

Okay, enough from us. Let's hear about you!
Personal Information
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Are You a U.S. Citizen?*

YesNo
Are you authorized to work in the U.S.?*

YesNo
Have you ever been convicted of a crime?*

YesNo
If yes, explain.

Employment Desired
Position Applying For*
Date You Can Start*

MonthDayYear
Hourly Rate Desired*
Have You Applied Here Before?*

YesNo
Have You Worked Here Before?*

YesNo
If yes, when?
How did you hear about us?*

Education
High School or Equivalent
Name of School Attended
Number of Years Attended
Graduated?

YesNo
College
Name of College/University Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
Graduate School
Name of Graduate School Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree

Relevant Skills/Qualifications
Do you have an Electrical Journeyman's License?*

YesNo
If yes, please include the state and county, license number, and expiration date.
Relevant Skills*
List any relevant skills
Relevant Qualifications*
List any relevant certifications or qualifications
Current Employment
Current Employer*
Name of Current Employer or NONE if not Employed
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Responsibilities
Starting Salary
Ending Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Date
May We Contact?

YesNo
Phone Number

Area CodePhone Number
Contact Name

Previous Employment

Please list employment from most recent to least recent.
Previous Employer
Name of Previous Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Position
Responsibilites
Starting Salary
Ending Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Name of Previous Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Position
Starting Salary
Ending Salary
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Position
Starting Salary
Ending Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date

Professional References

Please do not list family members or friends as references; professional references only. ***Notify your references in advance to expect a call. We call all references if we are considering moving forward with your application.***
Reference 1*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email
Reference 2*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email
Reference 3*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email

Military Service, if Applicable
Branch
From

MonthDayYear
Date
To

MonthDayYear
Date
Rank at Discharge
Type of Discharge
If other than honorable, explain.

Is there anything else we should know that we didn't ask?

Cover Letter & Resume (Optional)
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
Authorization and Release of DMV Records
The position I am applying for may require the operation of a company vehicle or my own personal vehicle on behalf of Central Contractors. Having and maintaining a satisfactory driving record is a condition of employment.

I hereby authorize Central Contractors to obtain my Motor Vehicle Record (MVR) from any state or federal agency, or from any third-party vendor authorized to provide such information, both prior to hire and periodically thereafter during my employment.

I further agree to immediately report to my supervisor any license suspension, serious accident or offense, or any other condition that may affect my ability to drive on behalf of Central Contractors.

I understand that this information will be used for employment purposes only and will not be furnished to any third party without my written consent, except as required by law.

I release Central Contractors, its employees, agents, and those supplying such information from any and all liability arising from the lawful retrieval and use of this information, and from my failure to be hired or continued in employment based on such information.
State of Driver's License*
Driver's License Number*
Date of Birth*

MonthDayYear
Date
Social Security Number*
Signature*

Clear
Send Application
By clicking the submit button below, I certify that the information contained in this application and in any resume provided by me or any party representing my interest is correct and complete to the best of my knowledge. I understand that any false statements, misrepresentations, or omissions made by me on this application or any supplement thereto, will be sufficient grounds for rejection of this application or discharge after employment.

I give the employer the right to obtain pertinent information concerning me from schools, former employers, personal references, and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations.

I understand that: (1) Central Contractors has a drug and alcohol policy that provides for pre-employment testing, as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; (3) continued employment is based on the successful passing of testing under such policy.

I also understand that Central Contractors conducts pre-employment background checks and participates in E-Verify for work authorization.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand that it is the company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation, as required by the ADA.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
Should be Empty:

Employment Application

Personal Information

Employment Desired

Education

Relevant Skills/Qualifications

Current Employment

Previous Employment

Professional References

Military Service, if Applicable

Cover Letter & Resume (Optional)

Authorization and Release of DMV Records

Send Application