Employment

Employment Application

All fields that have an * must be completed in order for this application to be processed.

employment

I. PERSONAL INFORMATION
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone
Email*
Have you been known by any other name that an IECA member may require to verify information regarding your application?*
- Yes
- No
If yes, please identify name:
Rate of pay or salary you are seeking:
Other benefits you are seeking:
Briefly describe your experience in the electrical field*
(e.g. commercial, residential, industrial, years of experience, etc.)
List skills you possess that will be relevant to position sought:*
Are you over the age of eighteen (18)?*
- Yes
- No
Are you eligible for employment under the immigration laws of the United States?*
- Yes
- No
When are you available to work?*
- Full Time
- Part Time
- Temporary
- Work Overtime
If any limitations to availability, please explain:
Do you have dependable transportation?*
- Yes
- No
If yes, what kind?
Do you have a valid driver's license?*
- Yes
- No
Driver's License # and State: (Will collect at office)
Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify you from employment.)*
- Yes
- No
If yes, please explain:
II. Employment History
Your application will not be considered unless this section is answered. Since previous employers may be contacted, correct information about your past employment is critical. You should include Military Service assignments.
Are you currently employed?*
- Yes
- No
If no, how long since last employment?
CURRENT EMPLOYER:
If you are currently employed (part time or full time), complete the following:
Company Name:
Address
City State
Phone
Dates employed from:
ex. ( 01/01/2015 - 01/01/2016)
Job title:
Supervisor's Name:
First Last
Duties:
Salary:
Per-hour?
Reason for Leaving?
If terminated, what reason was given to you?
Will you resign your current employment if hired by an IEC member?*
- Yes
- No
If not, or if uncertain, explain:*
1. Prior Employers
Company Name:
Address
City State
Phone
Dates employed from:
ex. ( 01/01/2015 - 01/01/2016)
Job title:
Supervisor's Name:
First Last
Duties:
Salary:
Per-hour?
If terminated, what reason was given to you?
Reason for Leaving?
2. Prior Employers
Company Name:
Address
City State
Phone
Dates employed from:
ex. ( 01/01/2015 - 01/01/2016)
Job title:
Supervisor's Name:
First Last
Duties:
Salary:
Per-hour?
Reason for Leaving?
If terminated, what reason was given to you?
3. Prior Employers
Company Name:
Address
City State
Phone
Dates employed from:
ex. ( 01/01/2015 - 01/01/2016)
Job title:
Supervisor's Name:
First Last
Duties:
Salary:
Per-hour?
Reason for Leaving?
If terminated, what reason was given to you?
III. ADDITIONAL INFORMATION
Are you a user of intoxicating drugs or alcohol?
- Yes
- No
If yes, please explain:
Based on your opinion of yourself & your previous employment, what type of employee will you be, regarding:
Attendance:
Responsibility:
Attitude:
Conscientiousness:
IV. EDUCATIONAL INFORMATION
High School Graduate?*
- Yes
- No
- GED
Last School Attended?
Attend College?
- Yes
- No
Name of College?
# of credit hours:
Years Attended:
Dates:
Have you taken courses in the following subjects? If so, specify the number of years/credit hours in each:
Electricity
Physics
Algebra
Drafting
Have you attended a vocational training course?
- Yes
- No
If so, which craft?
Name of School:
Years attended:
ex. (01/01/2015-01/01/2016)
Have you have served an apprenticeship?
- Yes
- No
If so, which craft?
Years attended:
ex. (01/01/2015-01/01/2016)
Name of Sponsoring Organization:
Are you a Licensed Electrician?
- Yes
- No
- Master
- Journeyman
- Apprentice
Where?
License #
Is license current?
- Yes
- No
# years of experience:
IMPORTANT INFORMATION AND CONDITIONS
By clicking the acceptance button, I certify that all statements contained in this application or mad in conjunction with it are true and correct, and any misrepresentation or omission of facts called for is grounds for rejection of my Application (or will result in dismissal should I be employed) whenever the correct information becomes known to Tilmann Electric, Inc.
*
- I accept the terms and conditions
Name*
First Last
Date*
RELEASE-AUTHORIZATION FOR INFORMATION
By clicking the acceptance button, I do hereby authorize a review and full disclosure of all records concerning myself. I authorize Tilmann Electric, Inc. and its representatives the right to investigate all references and the right to secure consumer reporting, or other agencies, including but not limited to, criminal history and motor vehicle driving records. Furthermore, I authorize all my current and former employers, school officials, instructors, licensing board(s), reporting agencies, or any other person whether or not named in my application to release an information they may have regarding me, whether or not such information is in their written records; and I hereby release all persons, schools, companies, and law enforcement authorities from any damage whatsoever for issuing this information. A copy of this release form will be valid as an original thereof, even thought the said internet form submission does not contain an original writing of my signature.
*
- I accept the terms and conditions
Name*
First Last
Date*

Employment

Employment Application

employment

I. PERSONAL INFORMATION

II. Employment History

CURRENT EMPLOYER:

1. Prior Employers

2. Prior Employers

3. Prior Employers

III. ADDITIONAL INFORMATION

Based on your opinion of yourself & your previous employment, what type of employee will you be, regarding:

IV. EDUCATIONAL INFORMATION

Have you taken courses in the following subjects? If so, specify the number of years/credit hours in each:

IMPORTANT INFORMATION AND CONDITIONS

RELEASE-AUTHORIZATION FOR INFORMATION