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
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.?
Criminal Background
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

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

Someone will contact you soon regarding your application.

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