<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%> Barnes & Powell Electrical - General Contractors

Barnes & Powell Electrical Company, Inc.

Employment Application

Section 1: Personal Information

Full Name:

Address: City: State:

Phone: Email Address:

Driver License Number:

Are you eligible to work in the United States?

Are you a Veteran? | If Yes, Branch of Service:

Have you ever been convicted of a felony? |If Yes, give brief explanation:

Location of Interest: Position of Interest:

Do you have a license to drive? | Do you have a CDL?

Have you ever been employed by this company?

Do you have a relative employed by this company?

Section 2: Education

High School (name and location):

Did you graduate from High School?

College (name and location):

Did you graduate from College? | Degree:

Other Education:

Section 3: Previous Employment

Please begin with most recent position.

1. Company: Postion:

Supervisor: Phone:

Begin Date: End Date: Reason for Leaving:

Beginning Salary: Ending Salary:

2. Company: Postion:

Supervisor: Phone:

Begin Date: End Date: Reason for Leaving:

Beginning Salary: Ending Salary:

3. Company: Postion:

Supervisor: Phone:

Begin Date: End Date: Reason for Leaving:

Beginning Salary: Ending Salary:

Section 4: Skills and Qualifications

Please list any skills you possess that would apply to a postion at Barnes & Powell Electrical:

Please list any training or certification that would apply to a position at Barnes & Powell Electrical:

Section 5: References

Please list two references other than family.

1. Name: Position:

Company: Phone:

2. Name: Position:

Company: Phone:

Please Read Carefully:

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired.

I authorize any person, organization or company listed on this application to furnish you with any and all information concerning my previous employment, education, and qualifications for employment. I also authorize you to request and recieve this information.

In consideration of my employment, I agree to abide by the rules and regulations of the company, knowing rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.

I also understand that my employment may be terminated, ar any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

I understand that I will be required to pass a drug test before a final offer of employment is made.

 

Electronic Signature of Applicant

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