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?YesNoCAPTCHACommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
