Employment Application Form

Employment Application
Thanks for your interest in working for Binge! Please fill out the form below and we will respond with next steps.

Please note, Binge! has clients that specialize in nursing homes, in-home care, and generally are dealing with high-risk environments. Covid-19 Vaccinations are required.
Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Resume:

Upload a File

Cancelof
Message to the Hiring Manager:
Job Skills & Training
Have you worked in the low-voltage installation field before?*

YesNoExperience in other trades
If yes, how many years experience?
Describe applicable experience:
Training or Certifications:
Any certifications you may possess - forklift, CTS training, Bixby, etc.
Date Able to Begin Work

MonthDayYear
Date
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty: