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EMPLOYEE APPLICATION

APPLICATION

Position(s) Applying for:

Application Date:

First and Last Name:

Address:

Home Phone:

Work Phone:

Cell Phone:

Email Address:

How did you hear about our company:

Citizenship/Work Status:

U.S. Citizen

Green Card Holder

U.S. Work Permit/Visa

Canadian Citizen

Canadian Work Permit/Visa

Current Employer: (if any)

Years of Work Experience directly related to the position you are applying fo

Employment Type Desired:

Full time

Part Time

Desired Compensation: $

Desired Compensation: $

Hourly

Annual

Other Compensation Desired:

When are you available to start work?

Education: (School Name, Location, Years Attended, Degree if Applicable)

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)?

yes

no

If yes, please explain why.

DO YOU HAVE A VALID DRIVER’S LICENSE?

Yes

No

Drivers License Number:

State of Issue:

Do you have reliable transportation to work (please be specific)?

Type:

Operator

Commercial (CDL)

Chauffeur

Do you have a clean driving record?

Yes

No

HAVE YOU EVER BEEN IN THE ARMED FORCES?

Yes

No

Branch:

Are you currently a member of the national guard or reserve?

Yes

No

Date Entered:

Discharge Date

Please list your work experience for the past 5 years beginning with your most recent job. If you were self-employed, give firm name. Attach additional sheets if necessary. Attach Resume if applicable

NAME OF EMPLOYER # 1:

Name of last supervisor:

Employment dates:

Pay or salary:

Address:

Phone:

Your last job title:

Specific Reason for Leaving:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?

Yes

No

NAME OF EMPLOYER 2:

Employment dates:

Pay or salary:

Your Job Title:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?

Yes

No

NAME OF EMPLOYER 3:

Name of last supervisor:

Employment dates:

Address:

Your Job Title:

Specific Reason for Leaving:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?

Yes

No

NAME OF EMPLOYER # 4

Name of last supervisor:

Employment dates:

Pay or salary:

Address:

Your Job Title:

Specific Reason for Leaving:

May we contact this employer?

Yes

No

ELECTRICAL INDUSTRY SKILLS SECTION INSTRUCTIONS:

ONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency.

What types of systems have you worked with? (Select all that apply)

Building Management

Bus ducts

CCTV / Data

Climate Control and HVAC

DC Systems

Elevators / Conveyors

Emergency Critical Load Distribution Systems

Fire Alarm Systems

Generators and Transfer Switches

High Voltage (601V and higher)

Hydraulic Systems

Hydraulic Systems

IT / Server Rooms

Low Voltage (600V and less)

Lighting Centers / Fixtures

Manufacturing Equipment

Mechanical Systems

Motor Control Centers / VFD Drives

Overhead Cranes

What types of wiring methods have you worked with? (Select all that apply)

EMT / Rigid

Hazardous Location

High Voltage Terminations

Cable Tray

Cat5 / Cat6

Coax

Fiber Optic

What Applications do you have experience with? (Select all that apply)

Aircraft / Airport

Clean Rooms

Dynomometers

Government Projects

Hospitals / Medical

Manufacturing Processes

Off-Shore / Marine

Raised Floors

What Job Functions have you performed? (Select all that apply)

Activity Reporting

Activity Tracking

Advertising

Air Hammer Operation

ANSI

Appliance Installation

Assembling

Budgeting

Building Codes

Business Development

Change Orders

Client Interaction

Client/Account Management

Computer Literate

Conduit Benders

Contract Negotiations

Contract/Proposal Preparation

Conventions/Trade Shows

Customer Service

Data Entry

Department Forecasting

Design/Build

Develop Relationships/ Alliances

Dispatching

Drafting

Drywall Repair

Electrical Compatibility

Engineer/PE

Estimator

Expense Reports

Fabricating

Facility Manager

Field Supervisor

Forecasting

Foreman

General Construction

General Manager

Goal Setting

IEEE

Installation

Installation - New Construction

Instructor

International Equipment

Inventory Control

Journeyman

Layout

Lead Generation

Lead Management

Leadership

Maintenance

NEC Standards

Negotiate Contracts

NETA

OEM

Operations Manager

Schematics

Planning

Policy/Procedure Development

Power Tools

Prepare Financial Reports

Presentation Preparation

Preventative Maintenance

Project Management

Project Scheduling

Proposal Development

Prospecting/Lead Generation

Punch List

Purchase Orders

Purchasing

Quality Assurance/Control

Read Schematics

Report Generation

Rough-In

Run Wiring Underground

Safety

New Option

QuickPen

Sales Training Development

Service

Service Agreements

Shipping/Receiving

Soldering

Sizing Wires / Cables

Staffing

Strategic Alliances

Superintendent

Supervision

Take-offs

Team Building

Territory Management

Test Meter Operation

Tracing Short Circuits

Trainer

Troubleshooting

Using Specialty Metering Equipment

Vendor Coordination

Wiring-Testing

What Computer related experience do you have? (Select all that apply)

ACT

Approach

AutoCad

Estimation (software)

Goldmine

MS Access

MS Excel

MS Office

MS PowerPoint

What Certifications & Licenses do you have? (Select all that apply)

Apprentice Electrician License

Journeyman Electrician License

Master Electrician License

Include State and License Numbers for any licenses selected above, if applicable:

Other Licenses & Certifications held:

Thank you for contacting us.
We will get back to you as soon as possible.

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