Application for Employment

Application for Employment
Verify your email address to begin.*

Personal Information
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Position Applying For*
State ID or Drivers License Number
Issuing State
Drivers License Status:

ValidSuspendedRestrictedID Only, not a licenseOther
State ID or Drivers License Expiration Date

MonthDayYear
Expiration Date
Social Security Number
Desired Wage

Emergency Contacts
Emergency Contact #1

First NameLast Name
Emergency Contact #1

Area CodePhone Number
Emergency Contact #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact #2

First NameLast Name
Emergency Contact #2

Area CodePhone Number
Emergency Contact #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Education
Describe your education history (High School, GED, College, etc.)

References
Reference # 1
Name

First NameLast Name
Company Name
Phone Number

Area CodePhone Number
Relationship
Reference # 2
Name

First NameLast Name
Company Name
Phone Number

Area CodePhone Number
Relationship

Employment History
Starting with the most recent employer, describe your employment history for the last five (5) years.

Military Service
Branch of Service
Current Status

ActiveReserve or National Guard 2Inactive Read Reserve 3RetiredOther
Current Rank or Rank at Discharge
Type of Discharge

Upload Documents
Please upload any employment related forms and identification required for the USCIS I-9 Form.

Browse Files

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Legal
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that any false or misleading information in my application may result in my employment being immediately terminate.

I authorize Whiskey Hill Electric, Inc. to review my MVR (Motor Vehicle Report) to determine eligibility to drive a company owned or operated vehicle.

Upon accepting an offer of employment, I understand that employment with Whiskey Hill Electric, Inc. is at will, and may be terminated for any lawful reason by either party.

Acceptance of an application by Whiskey Hill Electric, Inc. does not imply that an offer of employment has been extended to the applicant and no duration of employment is suggested or promised by Whiskey Hill Electric, Inc.
To sign this form, enter your full legal name in the box below.
Signature*

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