Employment Inquiry Step 1 of 5 - Personal Information 0% EmailThis field is for validation purposes and should be left unchanged.Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you 18 years of age or older:YesNoAre you prevented from lawfully becoming employed in the US?NoYesPlease Explain:Have you ever been convicted of a felony?NoYesPlease explain felony: Position Applying For:Salary Desired:Are you currently employed?YesNoName of Current Employer:*May we contact your employer?YesNoLevel of Education:*High School Diploma / GEDTrade SchoolSome CollegeAssociates DegreeBachelor's DegreeAdvanced DegreeNumber of Previous Employers (Last 5 Years):ZeroOneTwoThreePrevious Employer #1 Name & Address:Previous Employer #1 Dates of Service:Previous Employer #1 Starting & Ending Salary:Previous Employer #1 Job Title:Previous Employer #2 Name & Address:Previous Employer #2 Dates of Service:Previous Employer #2 Starting & Ending Salary:Previous Employer #2 Job Title:Previous Employer #3 Name & Address:Previous Employer #3 Dates of Service:Previous Employer #3 Starting & Ending Salary:Previous Employer #3 Job Title: Years of Electrical Experience:What voltages have you worked on?Strengths in a Substation:Certifications (Electrician License, Welder Cert, etc.):Other Skills (ex: Manlift Operation):Statement of Experience / Resume:Max. file size: 128 MB. Reference #1 (Please include contact information):*Reference #2 (Please include contact information):*Can you pass random drug testing:YesNoValid Driver's License: Yes No Current CDL? Yes No Do you have a clear driving record?YesNoPlease explain driving record:Current CPR / First Aid Card? Yes No Current Medical Health Card? Yes No OSHA 10 Training? Yes No OSHA 30 Training? Yes No CAPTCHA
