Apply Online to Join the
Electrical Works Team!

Please provide your information below. We’ll review your application and let you know if you’ve been successful to progress onto the next stage.

For References:
Please list three professional references. Do not list relatives or personal friends.

Date

SSN

First Name

Last Name

Driver’s License Number:

Driver’s License Class:

Street Address

City

ZIP Code

State

Phone Number

Email Address

Position Applying For:

Are you a citizen of the United States?

Are you authorized to work in the U.S.?

Have you ever worked for this company?

If yes, when?

Are you able to travel?

Do you have reliable transportation?

Do you have a current health card?

If yes, when was your last physical?

Are you able to work under the variable weather conditions?

High School

Address

Dates Attended

Did you Graduate?

Trade School

Address

Dates Attended

Did you Graduate?

College

Address

Dates Attended

Did you Graduate?

Referee 1: Full Name

Referee 1: Relationship

Referee 1: Company

Referee 1: Phone Number

Referee 2: Full Name

Referee 2: Relationship

Referee 2: Company

Referee 2: Phone Number

Referee 3: Full Name

Referee 3: Relationship

Referee 3: Company

Referee 3: Phone Number

1. Company Name

1. Phone Number

1. Company Address

1. Supervisor

1. Job Title

1. Ending Salary

1. Dates Attended

1. Responsibilities

1. Reason for Leaving

1. May we contact your previous supervisor for a reference?

2. Company Name

2. Phone Number

2. Company Address

2. Supervisor

2. Job Title

2. Ending Salary

2. Dates Attended

2. Responsibilities

2. Reason for Leaving

2. May we contact your previous supervisor for a reference?

3. Company Name

3. Phone Number

3. Company Address

3. Supervisor

3. Job Title

3. Ending Salary

3. Dates Attended

3. Responsibilities

3. Reason for Leaving

3. May we contact your previous supervisor for a reference?

Please attach your resume if you have one

Disclaimer

I certify that my answers are true and complete to the best of my knowledge authorize my former employers to furnish all information pertaining to my work record. I hereby release my former employers from all liability on account of furnishing such information. I understand that if employed, false statements, omissions or misleading statements on this application, regardless of the time they are discovered, shall be considered sufficient cause for dismissal. I also agree that my employer shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. The company is hereby authorized to investigate my employment history, including contacting employers listed and to verify my education and training. Consumer reports may be obtained as part of the application/employment evaluation of my job application/ employment. The reports may be procured by our current insurance company and may include my driving record, an assessment of my insurability under the company’s insurance coverage’s or other consumer reports. By signing this disclosure, I hereby authorize the company to procure such reports and additional reports from me from time to time as it deems appropriate to evaluate my insurability or for other permissible purposes.

Apply Online to Join theElectrical Works Team!

Apply Online to Join the
Electrical Works Team!