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Employment

employment-app

SHUGART ELECTRIC, INC

Employment Application

 

Applicant Information

 

First Name

  M.I.

 

Date:

 

Street Address

Apartment/Unit #

 

City

State

ZIP

Phone

 

 

Date Available

Social Security No.

 

Desired Salary

 

Position Applied for

Are you a citizen of the United States?


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

Have you ever worked for this company?

If so, when?

 

Are you able to travel?

 

 

Do you have a valid driver’s license?

 

 

Have you ever been convicted of a felony?

If yes, explain

 

Education

High School

 

 

 

 

  Address

 

 

Did you graduate?

Diploma

College

 

 

 

 

Address

 

 

Did you graduate?

Degree

 

Technical School

 

 

 

 

  Address

 

 

Did you graduate?

Degree

 

DO YOU HAVE ANY EXPERIENCE WITH THE FOLLOWING? (CHECK ALL THAT APPLY)

WIRING PANELS KNOWLEDGE OF NC ELECTRICAL CODE
INSTALLING CONDUIT CREW SUPERVISION
READING PLANS AND SPECS PROJECT MANAGEMENT
WIRING CONTROL DEVICES POWER WIRING
COMMUNICATION SKILLS WORKING KNOWLEDGE OF MICROSOFT EXCEL

 

CURRENT LICENSE AND/OR SAFETY TRAINING CERTIFICATIONS (PLEASE LIST):

REFERENCES Please list three professional references (non-relatives only)

Full Name – Reference 1

Company

Length of Relationship

Email

Phone

Full Name Reference 2

 

Company

 

Length of Relationship

 

Email

 

 

Phone

 

Full Name Reference 3

 

Company

Length of Relationship

 

 

Email

 

 

Phone

 

     

 

 

Disclaimer and 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

 

 


 

Previous Employment

Company1

 

Phone

 

Address

  Supervisor

 

 

Job Title

  Starting Salary

Ending Salary

 

 

Responsibilities

 

 

From

  To

Reason for Leaving

 

 

May we contact your previous supervisor for a reference? Yes No

   

 

Company2

 

Phone

 

Address

  Supervisor

 

 

Job Title

  Starting Salary

Ending Salary

 

 

Responsibilities

 

 

From

  To

Reason for Leaving

 

 

Company3

 

Phone

 

Address

  Supervisor

 

 

Job Title

  Starting Salary

Ending Salary

 

 

Responsibilities

 

 

From

  To

Reason for Leaving

 

 

Military Service

Branch

  From

Rank at Discharge

Type of Discharge

 

 

 

 

If other than honorable, explain

 

OTHER SKILLS/INTERESTS: