Employment Application Form – Three Phase Electric

Position desired

Select desired position from drop down menu.

Type of Electrical License:

State(s) Licensed:

Desired Hours:

Select Full-Time or Part-Time from drop down menu.

Date Available for work:

Desired Wage ($ per hour):

First Name:

Middle Initial:

Last Name:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary phone number:

Email address:

Best way to reach you:

Best times to reach you:

Do you have a valid Driver’s License?

Select Yes or No from drop down menu.

Number of years of experience – Residential:

Number of years of experience – Commercial:

Number of years of experience – Industrial:

Are you currently employed?

Select Yes or No from drop down menu.

If yes, who is your employer?

How many years with this employer?

Have you ever been involuntarily terminated or asked to resign?

Select Yes or No from drop down menu.

If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.?

Select Yes or No from drop down menu.

Optional: Upload your resume

I certify that answers given herein are true and complete to the best of my knowledge. And I understand that this application for employment shall be considered active for a period of time not to exceed 30 days.