Employment Inquiry Step 1 of 5 - Personal Information 0% Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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: Reference #1 (Please include contact information):*Reference #2 (Please include contact information):*Can you pass random drug testing:YesNoValid Driver's License:YesNoCurrent CDL?YesNoDo you have a clear driving record?YesNoPlease explain driving record:Current CPR / First Aid Card?YesNoCurrent Medical Health Card?YesNoOSHA 10 Training?YesNoOSHA 30 Training?YesNoCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
