Employment Application Home / Employment Application Application For Employment Request Electric Estimate Speak With Our Team An Equal Opportunity Employer Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Last NameFirst NameMiddle InitialDate of Birth: Address Street AddressCitySelect State--- Select State ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip CodePhone Number How Days Name If hired, can you provide evidence of legal eligibility to work in the U.S.?YesNoAny offer of employment is conditioned uponcompleting form I-9 & providing the appropriate documents for identity & work authorization.Position Desired:Wage/Salary Desired: Employment TypePart timeFull timeDate you can begin work?Name of high school attended:City & StateGraduate?GED?Name of college or technical school:City & StateGraduate?Degree?List any job-related skills or accomplishments, including military service:Are you presently enrolled in school?YesNoOtherIf yes, give name & address of school and expected degree date:Please DescribeAn Equal Opportunity Employer Available DaysTotal hours per week you are available to work:Do you have any special requests or needs for a work schedule?Provide Three References Who Are Not Former Employers Who We May Contact Name and OccupationHow do you know them, and for how long?Phone NumberName and OccupationHow do you know them, and for how long?Phone NumberName and OccupationHow do you know them, and for how long?Phone NumberList names of employers with present or last employer listed first. May we contact current employers before you are offered a position?YesNoName of Employer:Job Title:Duties:Address:Dates of Employment:Dates of Employment: toTelephone:Hourly pay or salary: Hourly pay or salary: Supervisor:Reason for Leaving: Add more experience Remove Submit