• Employment Application

  • Camsan, Inc. is an Equal Opportunity Employer. We provide equal employment opportunities to all applicants and employees without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, ancestry, age, marital status, disability, protected veteran status, genetic information, or any other characteristic protected by applicable law.

  • Personal Information

  • Format: (000) 000-0000.
  • Date Available to Start*
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Are you legally authorized to work in the United States?*
  • Are you at least 18 years of age?*
  • Are you currently employed?*
  • May we contact your current employer?*

  • Referral Source

  • Approximate Event Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you previously worked for Camsan, Inc.?*
  • Do you know anyone who currently works for Camsan, Inc.?*

  • Work Availability

  • What type of schedule are you available to work?*

  • Education and Training

  • Do you currently hold a Connecticut electrical license?
  • Are you currently registered in an electrical apprenticeship program?
  • Safety / Trade Certifications
  • Do you currently hold a valid driver’s license?*

  • Employment History

    Please provide your most recent employment history, starting with your most recent employer.
  • Have you previously been employed?*
  • Employer 1 - Employment Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 1 - Employment End Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Add Employer 2?
  • Employer 2 - Employment Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 2 - Employment End Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Add Employer 3?
  • Employer 3 - Employment Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 3 - Employment End Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • References

    Please provide professional, academic, or other work-related references. Please do not list relatives unless they directly supervised your work.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Applicant Certification and Acknowledgment

  • I certify that the information I have provided in this employment application, my resume, and any other materials submitted in connection with my application is true, complete, and accurate to the best of my knowledge. I understand that any material misrepresentation, falsification, or omission may result in my disqualification from consideration for employment or, if employed, termination of employment.

    I authorize Camsan, Inc. to contact references, former employers, educational institutions, and other appropriate sources for the purpose of verifying information I have provided in connection with my application, to the extent permitted by law. I release Camsan, Inc. and its representatives, as well as those providing such information, from liability arising from the lawful provision, receipt, or use of such information.

    I understand that, if hired, my employment with Camsan, Inc. will be at will. This means that either I or Camsan, Inc. may terminate the employment relationship at any time, with or without cause or advance notice, subject to applicable law. Nothing contained in this application constitutes or creates an employment contract for any specific term or duration.

    I understand that no representative of Camsan, Inc. has authority to enter into any agreement contrary to the foregoing except through a written agreement expressly authorized and signed by an authorized officer of the Company.

    Camsan, Inc. provides equal employment opportunities to qualified applicants and employees with disabilities and will provide reasonable accommodations in accordance with applicable law, unless doing so would impose an undue hardship. Applicants who require a reasonable accommodation during the application or hiring process may request one from Human Resources.

     

  • Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year
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