Job Application 1Contact Information2Experience/Availability3Eligibility4Employment History5Education6Work Experience7Resume Upload & Submit1/7Contact InformationContact Information First name (required) Last name (required) Middle name Email (required) Phone (required) Address Street address (required) City (required) State (required) ArkansasAlabamaAlaskaAmerican SamoaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Zipcode (required) Next0%Experience/Availability Position applying for (required) State electrical license No. Experience level (required) JourneymenApprenticeNA Years experience at current level (required) From your review of the job description for the position applied, are you able to perform the essential functions of the job with or without accommodation? (required) YesNo Wage or salary desired (required) Date available to begin work (required) Employment type (required) Full timePart time If part time, please state the number of hours and days when you are available to work. How were you referred for employment? (required) Have you ever worked for this company before? (required) YesNo If so, when? Have you applied for work with this company before? (required) YesNo If so, when? Can you travel if a job requires it? (required) YesNoAre you willing to work overtime and/or weekend? (required) YesNoAre you presently employed? (required) YesNo Why do you wish to change jobs? (required) BackNext16%EligibilityNOTE: Working a second full-time position while working for this company is NOT permitted. These questions are considered only for those positions where driving is an essential job function.Do you have a driver’s license? (required) YesNoDriving History & License InfoLicense state ArkansasAlabamaAlaskaAmerican SamoaArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Commercial/operator's number (required) License expiration date (required) Has your driver’s license ever been suspended or revoked? (required) YesNo If yes, please explain Do you have the legal right to work in the United States? (required) YesNoAre you of legal age to work? (required) YesNoBackNext33%Employment HistoryList all work history, beginning with the most recent. Include period(s) of military service. Use additional pages if necessary. If any information is not recalled, so note.Employer 1Not Applicable (NA) Employer name (required) Employer address (required) Start date (required) End date (required) Salary (required) Job title/duties (required) Supervisor name Reason for leaving Employer 2Not Applicable (NA) Employer name (required) Employer address (required) Start date (required) End date (required) Salary (required) Job title/duties (required) Supervisor name Reason for leaving Employer 3Not Applicable (NA) Employer name (required) Employer address (required) Start date (required) End date (required) Salary (required) Job title/duties (required) Supervisor name Reason for leaving Employer 4Not Applicable (NA) Employer name (required) Employer address (required) Start date (required) End date (required) Salary (required) Job title/duties (required) Supervisor name Reason for leaving Please account for periods of unemployment longer than three (3) months Do you have experience with Microsoft Office? (required if you applying for a clerical position) YesNoHow many words per minute can you type? (required if you applying for a clerical position) BackNext50%EducationHigh School EducationHigh school name (required) High school address (required) Year completed (required) Graduation date Certification College EducationCollege name College address Year completed Graduation date Degree Additional EducationProgram name (required) Program address (required) Year completed (required) Graduation date Degree/certification List any additional work experience, education, skills, information, licenses, certifications, special study relating to position applied for or of general interest. If hired, would you be willing to perform other jobs as needed? YesNoBackNext66%Work ExperienceWhich type of work have you been involved in? CommercialIndustrialHospitalNew ConstructionRemodelCommercial Work ExperienceWhat type of commercial work have you completed? Please provide some examples and names. What is the largest commercial project you have worked on? Did you manage a crew? YesNoIf yes, how many? Industrial Work ExperienceWhat type of industrial work have you completed? Please provide some examples and names. What is the largest industrial project you have worked on? Did you manage a crew? YesNoIf yes, how many? Hospital Work ExperienceWhat type of hospital work have you completed? Please provide some examples and names. What is the largest hospita project you have worked on? Did you manage a crew? YesNoIf yes, how many? New Construction Work ExperienceWhat type of new construction work have you completed? Please provide some examples and names. What is the largest new construction project you have worked on? Did you manage a crew? YesNoIf yes, how many? Remodel Work ExperienceWhat type of remodel work have you completed? Please provide some examples and names. What is the largest remodel project you have worked on? Did you manage a crew? YesNoIf yes, how many? Safety ExperiencePlease list any safety certifications you possess. What safety training would be helpful in your position? BackNext83%Resume UploadBack100%
