Employment Application Full Name(required) Email(required) Full Phone(required) Date of Birth - MM/DD/YYYY(required) Address - Street - City - State - Zip(required) Social Security Number Desired Salary Are you applying as an electrician? Pick One Yes No Position Applying For? Are you a citizen of the United States? Pick One Yes No If no, are you authorized to work in the U.S.? Pick One Yes No Have you ever been convicted of a felony? Pick One Yes No If yes, explain Date Available to Start Work - MM/DD/YYYY High School Name - Address - Dates Attended Did you graduate? Pick One Yes No College or Other Education - School Name - Address - Dates Attended Please list three professional references whom we can contact. Names, Addresses, Phone Numbers, Company and Relationship Previous Employment 1 of 3. Company Name, Address, Phone Number, Your Position or Title, Dates Employed, Reason for Leaving, Starting and Ending Salary Previous Employment 2 of 3. Company Name, Address, Phone Number, Your Position or Title, Dates Employed, Reason for Leaving, Starting and Ending Salary Previous Employment 2 of 3. Company Name, Address, Phone Number, Your Position or Title, Dates Employed, Reason for Leaving, Starting and Ending Salary If you had Military service please provide Branch, Rank at Discharge, Dates of Service, Type of Discharge. If other than an Honorable Discharge please explain. Submit Δ Share this:TwitterFacebook