JOB APPLICATION
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Position Applying For:
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How did you hear about Ridgeline Electrical Solutions?
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Name
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First Name
Last Name
Email
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example@example.com
Date of Birth
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Sex
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Male
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Address
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What days are you able to work?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any
What day are you able to start?
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Date
Have you ever worked for Ridgeline Electrical Solutions? If yes, please explain when.
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No
Yes
Other
Are you 18 years or older?
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Yes
No
Are you a legal U.S. citizen?
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Yes
No
Are you legal to work in the U.S.?
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Yes
No
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Education
NAME OF SCHOOL
NUMBER OF YEARS ATTENDED
DID YOU GRADUATE
DO YOU HAVE A DIPLOMA OR DEGREE
COURSE OF STUDY
GRADE SCHOOL
HIGH SCHOOL
COLLEGE
Are you still in school? If yes, please explain.
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Yes
No
Other
What special skills or licenses do you have that would qualify you for the position you are applying for?
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Work History
Please list at least three work history.
Previous Employer Name
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Previous Employer Phone Number
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Title/Position
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Supervisor's Name
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Start Salary
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End Salary
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Reason for leaving?
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Previous Employer Name
Previous Employer Phone Number
Title/Position
Supervisor's Name
Start Salary
End Salary
Reason for leaving?
Previous Employer Name
Previous Employer Phone Number
Title/Position
Supervisor's Name
Start Salary
End Salary
Reason for leaving?
May we contact your previous employer?
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Yes
No
Have you ever been fired or forced to resign from a job? If yes, please explain why?
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Yes
No
Other
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REFERENCES
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Name
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First Name
Last Name
Phone Number
*
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Area Code
Phone Number
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
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Disclosures:
FELONY: Have you ever been convicted of or pleaded guilty to (or no contest) a felony, any drug-related offense and/or offense regarding dishonesty? (Theft, fraud, ECT) in the past 7 years? A conviction will not automatically remove you from consideration, but failure to fully disclose may prevent employment. If yes, please explain when and why?
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yes
no
Other
DRUG FREE WORKPLACE AND CONSENT FOR DRUG SCREEN: Ridgeline Electrical Solutions is a Drug Free Workplace. I understand that I may be subject to illegal drug/ alcohol testing. At any time I may be required to submit to a pre-employment and potential post-hire drug tests. Refusal to submit any drug/alcohol test at any time will be deemed as positive results. Positive test results before employment will result in any offer to be withdrawn. Positive test results during employment will result in termination. I agree to hold Ridgeline Electrical Solutions harmless of all claims arising out of any drug test results. I understand that if I am currently taking legal prescription medications that may result in a positive result; I may choose to notify a Medical Review Officer of these medications to determine if the results of the test were adversely affected. I will notify Ridgeline Electrical Solutions of my desire to have the test results reviewed by a MRO if the results are positive.
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yes
no
WEAPONS: Employees are prohibited from carrying or bringing any weapon to their worksite or any other location the employee may be required to be during the workday. This prohibition also applies to any employee who is licensed to carry a firearm or weapon. Weapon means any firearm, whether loaded or unloaded, from which a shot may be discharged including, but not limited to pistol, revolver, shotgun, rifle, BB gun or any knife including switchblade knife, gravity knife, or any knife with a blade longer than 3 inches, or billy, blackjack, bludgeon, metal knuckles, bow and arrow, electronic stunning device, etc.
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yes
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I understand that while I am employed with Ridgeline Electrical Solutions I am responsible for making it to work on time and I am responsible for providing my own transportation to and from work.
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yes
no
I certify that I do not have any disabilities that will hinder me from completing my daily task.
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yes
no
I certify that the information contained in this application is true and complete. I understand that false information will result in immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
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yes
no
Signature
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Date
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