Personal Information
Please enter your Personal Information. When you have finished, select "Next" to continue to the next section of the application.
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Current Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
From
Months Years
Until
until
Months Years
Are you legally authorized to work in the United States?
*
Please Select
Yes
No
Applying for Position
*
Please Select
Apprentice/ helper
Journeyman
Applying for Position
*
Please Select
Apprentice/ helper
Journeyman
CAN YOU PASS A DRUG TEST?
Yes
No
Please select all tools and equipment that you currently have:
Impact driver
Driver bits
Drill
Drill bits
Lineman pliers
Diagonal pliers
Screwdrivers
Hammer
Kneepads
Hardhat
Wire stripper
Tool belt
Gloves
Do you have reliable transportation?
Yes
No
Do you have a valid Louisiana driver's license?
Yes
No
Are you comfortable working on ladder at heights above 12ft?
Yes
No
Are you comfortable working in small or confined spaces?
Yes
No
Are you comfortable working in hot, noisy and dirty/ dusty environments?
Yes
No
Back
Next
Resume Upload
You can upload a file from your computer, or copy and paste text into the online text editor. Choose "Next" to continue.
Upload Resume
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Here you can cut and paste your resume into a rich text editor to upload to the job application.
Paste Text Here
Back
Next
Employment History
Please enter the information requested for your work experience. Press "Submit" when you have finished.
Currently Employed?
*
Please Select
Yes
No
Years of electrical or related experience
0 - 2 year
3 - 4 year
More than 4 yrs
Employer Details
*
Employer Name
Street Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Phone Number
Employment Start Date
*
-
Month
-
Day
Year
Date
Employment End Date
*
-
Month
-
Day
Year
Date
Reason for Leaving
*
Previous Employer
Employer Name
Street Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Phone Number
Dates of Employment
Months Years
Until
until
Months Years
Print Form
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform