Employment

Full Name*

Date*

Position Applying For*

How did you hear about us?

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

If you are under 18 can you provide a worker's permit?*

Are you currently employed?*

Can we contact your employer?

Employer information

Can you provide proof of citizenship or a visa that allows you to work in the U.S.?*

On what date would you be available to start work?

Are you currently on temporary lay off?*

Can you travel if a job requires you to?*

Have you been convicted of a felony in the last 7 years?*

If yes, please explain

Do you have a current drivers license?*

Are you willing to take in house code classes at no charge to the company?*

Are you willing to be randomly drug tested?*

Salary range desired (per hour)*

Have you been terminated from a job in the last 5 years?*

If yes, please explain

May we conduct a criminal background screening?*

Do you have reliable transportation to get to and from work?*

Employment Experience

Employer*

Phone

Address*

Street Address City State / Province / Region ZIP / Postal Code

Job Title*

Supervisor*

Reason for leaving*

Start Date*

MM

DD

YYYY

End Date*

MM

DD

YYYY

Starting Salary*

Final Salary*

Work performed*

Employer 2

Employer

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Job Title

Supervisor

Reason for leaving

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Starting Salary

Final Salary

Work performed

Employer 3

Employer

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code

Job Title

Supervisor

Reason for leaving

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Starting Salary

Final Salary

Work performed

Education

Highest level of education completed*

Name of school*

Course of study*

Years completed*

Comments

Indicate any foreign languages you can speak, read or write

Reading

Indicate language skill level

Writing

Indicate language skill level

Speaking

Indicate language skill level

Describe any specialized training, apprenticeship, skill and extra-curricular activities

Describe any job related training received in the United States military

Q & A

Describe your current electrical experience*

Do you feel more comfortable with Res or Comm electrical work?*

Have you ever suffered from a job site injury?*

How would you rate your attendance as on time and able to work long hours?*

Do you currently own your own hand tools?*

Is there anything that would hold you back from performing basic electrical work such as heavy lifting, high ladders, crawling or digging?*

Are you willing to attend code classes to better your skills or obtain a license?*

How would you rate your customer service skills?*

How would you rate yourself working with others under a high stress / production environment?*

Are you willing to maintain a higher level of personal appearance and wear company uniforms?*

Applicant's Statement

I certify that the answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered for employment beyond this time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or nor applications are being accepted at that time.
I hereby understand and acknowledge that, unless 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. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. 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.

Signature of Applicant*

Date*

Phone

This field is for validation purposes and should be left unchanged.

Interested in working for Carolina Electrical Service?

Employment

Employment Experience

Employer 2

Employer 3

Education

Q & A

Applicant's Statement

704.721.0750

3366 Poplar Tent Rd
Concord, NC 28027

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