Harris Electric Job Application

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear

Job Interest

Please complete the following
Applying for Position*
Type of employment desired*

Full-TimePart-TimeTemporary
You should hire me for your team because:
Desired Wage:
If hired, can you furnish proof you are eligible to work in the U.S.? *

YESNO
Criminal Background*

YESNO
If YES, please explain:

Education

Please enter your Education
Name of School*
Name of School
Graduation/Completion Date

MonthDayYear
Date
Level of Education*
Field of Study
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of School
Name of School
Graduation/Completion Date

MonthDayYear
Date
Level of Education
Field of Study
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Certifications

Please tell us about any Relevant Certifications you have
Type of Certification
Type of Certification
Date Acquired

MonthDayYear
Date
Expiration date

MonthDayYear
Date
Type of Certification
Type of Certification
Date Acquired

MonthDayYear
Date
Expiration date

MonthDayYear
Date

Work History
Company*
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*

Area CodePhone Number
Ending Pay Rate*
Reason for Leaving*
Company
Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Ending Pay Rate
Reason for Leaving
Company
Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Ending Pay Rate
Reason for Leaving

References

Please include 2
Reference #1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*

Area CodePhone Number
Reference #2*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*

Area CodePhone Number

Documents
Upload Resume:*

Browse Files

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Additional Documents:

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Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.
Signature*

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Application Instructions
Thank you for completing this application. Please also include a copy of your resume and sign your application.

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