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electrical contractor
Master Electrician License #14154   |   Phone: 512.328.3268   |   Fax: 512.462.1077

Employment Application

Please fill out the form in its entirety and click "send" or click the "print" button and fax it to us at (512)462-1077

Applicant Information
Name: Date
Position(s) applying for/type of work desired:
Address: Phone:
Email:
Type of employment desired: Full time Part time Temporary
Date you will be available to start work:
Are you able to meet the attendance requirements? Yes No
Do you have any objection to working overtime if necessary? Yes No
Can you travel if required by this position? Yes No
Have you been employed previously by this organization? Yes No
Can you submit proof of legal employment authorization and identity? Yes No
If you are under 18 can you furnish a work permit if required? Yes No
Have you been convicted of a crime in the last 7 years? Yes No
If yes, please explain
(a conviction will not automatically bar employment)
Drivers license number: State:
Do you have a State Electrical License? Yes No
If so, which one?
Do you have your own transportation to work? Yes No
Do you have basic electrical tools to start? Yes No
Experience (years & months):
Commercial: Residential:
How were you referred to us?
Employment History:
Employer: Position held:
Address: Phone:
Immediate supervisor and title:
Dates employed-From: To:
Job summary:
Reason for leaving:
Employer: Position held:
Address: Phone:
Immediate supervisor and title:
Dates employed-From: To:
Job summary:
Reason for leaving:
Employer: Position held:
Address: Phone:
Immediate supervisor and title:
Dates employed-From: To:
Job summary:
Reason for leaving:
Employer: Position held:
Address: Phone:
Immediate supervisor and title:
Dates employed-From: To:
Job summary:
Reason for leaving:
Other Skills and Qualifications:
Summarize any job-related skills, licenses, certificates and/or other qualifications:
Educational History:
List school names and location, years completed, course of study and any degrees earned:
High school:
College:
Technical Training:
References:
List 3 references names, telephone numbers and years known (do not include relatives or employers):

I hereby authorize the potential employer to contact, obtain and verify the accuracy of the information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentations or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I represent and warrant that I have read and fully understand the foregoing and that I seek employment under these conditions.
Applicant signature:

If you prefer, you can fill out this form, then print it and fax to (512)462-1077.