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  • Benefits include Vacation, Holiday Pay, and plenty of room for growth. Join our Team today!

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Employment & Background Information

employee and background information

Last 3 Positions Held

Please list your work history and upload resume (optional) with work history, starting and ending salary, and permission to contact employer

Professional References

Please list references

I certify that all the information is accurate and complete to the best of my knowledge and I understand that misleading or false statements will constitute sufficient cause for refusal

Signature and date

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  • Employment & Background Information
  • Work History
  • References
  • Complete and Submit

Personal Information

Employment Information

Citizenship/Work Status

Employment Type Desired

Criminal History

Have You Ever Been Convicted of a Felony or Misdemeanor?

Drivers License Information

Do you have a valid Drivers License?

Do you have reliable transportation to and from work?

Do you have a clean driving record?

Military Service

Have you ever been in the Armed Forces?

Are you currently a member of the National Guard or Reserves?

Work History

If you have a resume, please upload here

Max. size: 100.0 MB

May we Contact this employer?

Work History

May We Contact this Employer?

Work History

May We Contact this Employer?

Electrical Industry Skills

What types of wiring have you worked with?

Do You have experience in Residential projects?

What Certifications and Licenses do you have? (Select all that apply)

Reference #1

Reference #2

Reference #3

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