Employment Application

Please Complete The Form Below And We Will Contact You If You Are Selected.

Positively Charged Electric provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. Please complete all items on the application, even if the information is included on your resume.

First Name

Last Name

Address

City

State

Zip / Postal Code

GENERAL INFORMATION

Are you legally eligible for work in the U.S.A.?:

Yes (Verification will be required) No

Have you ever worked for an electrical contractor or do you have previous construction experience?

Yes No

Have you ever been convicted of a felony?

Yes No

If selected for employment, are you willing to submit to a background check and a drug screening test ?

Yes No

EMPLOYMENT REQUEST

Position Desired:

How Many Years of Residential Electrician Experience do you have?

How Many Years of Commercial Electrician Experience do you have?

Hours of required schooling for journeyman license completed

Additional Education

Minimum Salary Requested

Are you available for overtime:

Yes No

What is the earliest you can begin work?

Education:

GED High School Diploma College Degree Trade School

EMPLOYMENT HISTORY

MOST RECENT EMPLOYER

Company Name

Phone

Supervisor

From

Pay Or Salary (Start / Final)

Position Duties

Reason For Leaving

May We Contact This Employer

Yes No

2ND MOST RECENT EMPLOYER

Company Name

Phone

Supervisor

From

Pay Or Salary (Start / Final)

Position Duties

Reason For Leaving

May We Contact This Employer

Yes No

3RD MOST RECENT EMPLOYER

Company Name

Phone

Supervisor

From

Pay Or Salary (Start / Final)

Position Duties

Reason For Leaving

May We Contact This Employer

Yes No

REFERENCE 1

Name

Phone Number

Additional Information

REFERENCE 2

Name

Phone Number

Additional Information

REFERENCE 3

Name

Phone Number

Additional Information

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize Positively Charged Electric to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Positively Charged Electric by any of the schools, services, or employers listed on this application