Simple Job Application Form

Job Application

Please complete the form below to apply for a position with us.
Employer: Helping Hands Electric

Address: 6725 Seybold Rd, STE B

City/State/ZIP: Madison, Wisconsin 53719

Telephone: (608) 247-5070

It is the policy of Helping Hands Electric 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.
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Format: (000) 000-0000.
Upload Your Cover Letter

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Position Applied*
Desired Salary
Who referred you to our Company?*
Do you have any friends or relatives who work here? If yes, please list here: *
YesNo
YesNo
YesNo
YesNo
Available Start Date*

MonthDayYear
Date
YesNo
YesNo
YesNo
Skills: List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and add the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)*

Ability SkillsYears of ExperienceRating
Employment History:*

Employer NameAddressJob DutiesReasons for leavingDates of Employment (Month/Year)
Employer NameAddressJob DutiesReasons for leavingDates of Employment (Month/Year)
Employer NameAddressJob DutiesReasons for leavingDates of Employment (Month/Year)
High SchoolGEDTrade/Technical/VocationalCollege/University - AssociatesCollege/University - BachelorsCollege/University - MastersOther
Other training (graduate, technical, vocational)
Please Indicate any current professional licenses and certifications that you hold
Awards, Honors, Special Achievements
YesNo
References - List any two non- relatives who would be willing to provide a reference for you. Provide their Name, Address, City/State/Zip, Telephone, and Relationship to you.*
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 commences, immediate termination. I authorize Helping Hands Electric to contact former employers and educational organizations regarding my employment and education. I authorize my 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. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Helping Hands Electric, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
Applicant Signature (Type Name)*
Date*

MonthDayYear
Date
Please verify that you are human*
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