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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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
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