Are you under the age of 18? *
No Yes
Days you are available to work? *
Full Time Job Part Time Job Full- or Part-Time Job
Hours Available Per Week: *
Date available to begin: *
Have you ever been employed by this organization in the past? *
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. *
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony? *
Do you have a driverʹs license? *
No Yes
Have you had any accidents during the past three years? *
Have you had any moving violations during the past three years? *
Have you even been in the Armed Forces?
Are you currently in the Armed Forces?
What kind of discharge did your receive?:
May we contact this employer?
No Yes
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked
at this company:
Do you have any additional skills/certifications: *
Have you worked with DC electrical wiring?: *
No Yes
Do you have a basic understanding of Electrical Wiring?: *
No Yes
Do you have basic math skills to do conversions as necessary?: *
No Yes