Job Application

Name

First NameLast Name

Birthday

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Do you have a valid Drivers license?

If Yes Please provide State, Type, Endorsements

Am I legally allowed to work in the United States?

I am seeking a permanent position

Education History: Highschool, College/University, Business/technical, Additional

Do you have any experience in the electrical industry?

If yes, where?

What Job are you applying for?

Would you consider yourself a journeyman or apprentice? Why? If you're applying for warehouse Manager just say N/A

Please provide at least two references. They can not be relatives. Name, address, phone number, occupation, years known

Please list your last 5 years of employment history and a point of contact

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

Signature