Employment Application - Shugart Electric Inc

Applicant Name *

First

Middle

Last

Date of Application

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Social Security Number

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Desired Annual Salary

Data Available to Start

Position Applied For *

Are you a citizen of the United States?

Yes
No

If not, are you authorized to work in the U.S.?

Yes
No

Have you ever worked for this company?

Yes
No

If so, when?

Are you able to travel?

Yes
No

Do you have a valid driver's license?

Yes
No

Have you ever been convicted of a felony?

Yes
No

Is yes, explain:

Education

High School Name

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

Did You Graduate

Yes
No

Diploma Received?

College Name if attended

College Address

Address Line 1

Address Line 2

City

State

Zip Code

Did You Graduate?

Yes
No

Degree Received?

Technical School Name if attended

Technical School Address

Address Line 1

Address Line 2

City

State

Zip Code

Did You Graduate?

Yes
No

Degree Received?

Do you have any experience with the following? (CHECK ALL THAT APPLY)

Current License and/or Safety Training Certifications (Please List):

References - Please list 3 professional references (non-relatives only)

Full Name - Reference 1 *

First

Middle

Last

Company

Length of Relationship

Email *

Phone

Full Name - Reference 2 *

First

Middle

Last

Length of Relationship

Company

Email *

Phone

Full Name - Reference 3 *

First

Middle

Last

Length of Relationship

Company

Email *

Phone

Previous Employment

Previous Employer - Company 1

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

Previous Employer - Company 2

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

Previous Employer - Company 3

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

Voluntary - Cover Letter, Resume, & References

Click or drag files to this area to upload. You can upload up to 3 files.

If you'd like to upload a resume and/or cover letter you can add that here. Neither are required.

Disclaimer & Signature

Enter Date of Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to an offer of employment, I understand that false or misleading information in my application or interview WILL result in my release. I ALSO UNDERSTAND THAT AN OFFER OF EMPLOYMENT IS BASED ON SATISFACTORY RESULTS OF MY DRUG TEST, DRIVING RECORD, AND BACKGROUND VERIFICATION PROCESS. I ALSO AUTHORIZE SHUGART ELECTRIC INC TO VERIFY THE INFORMATION THAT I HAVE SUBMITTED ON THIS APPLICATION THROUGH BACKGROUND SCREENINGS AND INQUIRIES TO REFERENCES AND PREVIOUS EMPLOYERS. I AUTHORIZE AND HOLD NO CLAIM AGAINST THE INFORMATION PROVIDED AND THOSE WHO PROVIDED THE INFORMATION. ENTERING YOUR NAME BELOW WILL SERVE AS A DIGITAL SIGNATURE. After entering your Prior Employment History (below) you can submit the form.

Signature

Education

References - Please list 3 professional references (non-relatives only)

Previous Employment

Disclaimer & Signature

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