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West Michigan Electrician Employment Opportunities
with The Electric Professor

  * Required Fields
SECTION I - Personal Information
First, M, Last Name:        *
Email:     *
Street Address:     *
City, State, Zip:        *
Telephone Number:     *
 
How did you hear about us?  
Type of Employment  
 
Have you ever been employed by our company?   Yes No   If yes, give date 
 
If you are under 18, can you provide proof of your eligibility to work?   Yes No
 
Are you currently employed?   Yes No   If not, how long since your last employment? 
 
May we contact your present employer?   Yes No
 
Are you prevented from lawfully becoming employed in this country because of Visa? (Proof of citizenship will be required upon employment)?   Yes No   On what date will you be available for work? 
 
What are you able to work?   Full Time  Shift Work  Part Time  Temp
 
Are you currently on 'Layoff Status' and subject to recall?   Yes No
 
Can you travel if the job requires it?   Yes No
 
Have you ever been bonded?   Yes No   If so, name of bonding company? 
 
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation?  The activities involved in the job or occupation for which you have applied?   Yes No


 
SECTION II - Educational Information
Education   Name   Course   Years   Degree
Elementary              
High School          
Undergraduate College        
Graduate Professional        
Other        
 
Languages   Fluent   Good   Fair
Speak      
Read      
Write      
 
SECTION III - Employment Experience
Start with your present or last job.  Include any job-related military service assignments and volunteer activities.  You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.  If you need additional space to provide supplemental information, please write it on last page of this application.  If this application is completed on-line, simply type the information on the last page of this application.
 
Past Employers
Employer #1  
Complete Address  
Telephone  
Job Title  
Supervisor  
Dates Employed    to 
Starting and Finishing Hourly Rate / Salary    , 
Reason for leaving  
Work Performed  
 
Employer #2  
Complete Address  
Telephone  
Job Title  
Supervisor  
Dates Employed    to 
Starting and Finishing Hourly Rate / Salary    , 
Reason for leaving  
Work Performed  
 
Employer #3  
Complete Address  
Telephone  
Job Title  
Supervisor  
Dates Employed    to 
Starting and Finishing Hourly Rate / Salary    , 
Reason for leaving  
Work Performed  
 
SECTION IV - References and Additional Information
 
References
Name #1     *
Complete Address  
Telephone     *
 
Name #2     *
Complete Address  
Telephone     *
 
Additional Information and Comments
Add any additional information here, that you believe will be helpful. You may be asked to provide hard copies of additional information, such as your resume or Employee Data Cards.
 
SECTION V - Submit
 
The applicant must read and agree with the following text.  After reading, check the box at the bottom and press the submit button.

I certify that I have read and understand all of this employment application.  It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information.  I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job.  I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information it are true and complete to the best of my knowledge.

 I have read and agree to the above terms.   *

 
© 2006 The Electric Professor