Express Electric Application

Step 1 of 5

20%

EDUCATION
Elementary School
Name & Address of School
Course of Study
Number of Years Completed
Diploma/ Degree
High School
Name & Address of School
Course of Study
Number of Years Completed
Diploma/ Degree
Undergraduate College
Name & Address of School
Course of Study
Number of Years Completed
Diploma/ Degree
Graduate Professional
Name & Address of School
Course of Study
Number of Years Completed
Diploma/ Degree
Other (Specify)
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the US military:

Employment Experience
Please list your present of most recent job or job-related military assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.
Employer
Dates Employed
Work Performed
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Hourly Rate/ Salary
Reason for Leaving
Employer
Dates Employed
Work Performed
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Hourly Rate/ Salary
Reason for Leaving
Employer
Dates Employed
Work Performed
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Hourly Rate/ Salary
Reason for Leaving
Employer
Dates Employed
Work Performed
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Supervisor
Hourly Rate/ Salary
Reason for Leaving
List professional, trade, business or civic activities and offices held.
Additional Information
PLEASE SUMMARIZE ANY ADDITIONAL QUALIFICATIONS OR SKILLS ACQUIRED FROM EMPLOYMENT OR EXPERIENCE and ANY OTHER INFORMATION TO HELP US IN CONSIDERING YOUR APPLICATION.
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation? I.e. lifting 30lbs+, standing, stooping, bending, squatting, climbing ladders, performing overhead electrical installations from a ladder, etc.
(If you are unsure of the essential functions of the job, do not answer.)
- Yes
- No

References
Name
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

APPLICANT’S STATEMENT
I certify that answers provided herein are true and complete. I authorize investigation of all statements contained in this application for employment as my be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Applications not signed and dated by the applicant will not be considered.
Do you understand the above statement and agree to the terms?
You must select yes to proceed with submitting your application
- Yes
- No
Today's Date
Phone
This field is for validation purposes and should be left unchanged.

Express Electric Application

Step 1 of 5

EDUCATION

Employment Experience

References

APPLICANT’S STATEMENT