SHORE POWER ELECTRIC INC JOB APPLICATION

SHORE POWER ELECTRIC INC.
1882 Porter Lake Drive Unit 101, Sarasota, FL 34240

Shore Power Electric Inc. Is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone number
Format: (000) 000-0000.
Address

Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Email Address
example@example.com
Position applying for:

How did you hear about this position: What days are you available to work: If needed, are you available to work overtime? What date can you start working? Do you have reliable transportation to/from work? Salary Desired:
Position applying for:
How did you hear about this position?
What days are you available to work?
If needed, are you available to work overtime?
What date can you start working?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have reliable transportation to and from work?
Salary Desired:
Have you applied to or worked for Shore Power Electric Inc. Before?
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have any friends, relatives, or acquaintances working for Shore Power Electric Inc.?
If yes, state name and relationship:
SHORE POWER ELECTRIC INC. Application Page 2
Are you 18 years of age or older?
Are you a U.S. citizen or approved to work in the United States?
What document can you provide as proof of citizenship or legal status?
Will you consent to a mandatory controlled substance test?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
If yes, please state the nature of the crime(s), when and where you were convicted and disposition of the case:
Valid Driver’s License / Driving Eligibility This position may require driving a company vehicle to and from jobsites. Do you possess a valid driver’s license and have a clean driving record, free of any moving violations, license suspensions, or at-fault accidents within the past three years? I understand that employment may be contingent upon verification of my driving record and eligibility to operate a company vehicle.
Please list below the skills and qualifications you possess for the position for which you are applying
(Note: Shore Power Electric Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions
Previous Employment
Employer Name
Job Title
Supervisor Name
Address

Employer Address

Street Address Line 2

City State and ZipState / Province

Postal / Zip Code
Employer Phone
Format: (000) 000-0000.
Dates Employed
Reason for leaving
Employer Name
Job Title
Supervisor Name
Address

Employer Address

Street Address Line 2

City State and ZipState / Province

Postal / Zip Code
Employer Phone
Format: (000) 000-0000.
Dates Employed
Reason for leaving
Employer Name
Job Title
Supervisor Name
Employer Phone
Format: (000) 000-0000.
Address

Employer Address

Street Address Line 2

City State and ZipState / Province

Postal / Zip Code
Dates Employed
Reason for leaving
Please provide 3 personal and professional references below:
Reference Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Education & Training
High School Name
Location (City, State)
Year Graduated
Degree Earned
College/University Name
Location (City, State)
Year Graduated
Degree Earned
Vocational School Name
Location (City, State)
Year Graduated
Degree Earned
Military:
Are you a member of the Armed Services?
What Branch of the Military did you enlist?
What was your Military Rank when you were discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position
Additional Information:
Do you have any trade school experience?
Do you have a Journeyman Electrical license?
Do you hold a Master Electrical License?
AT-WILL-EMPLOYEMENT

The relationship between you and Shore Power Electric Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Shore Power Electric Inc. No representative of Shore Power Electric Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statement or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

SHORE POWER ELECTRIC INC.

SHORE POWER ELECTRIC INC. Application Page 2

Previous Employment

Military:

Additional Information: