APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

DATE: ________________

NAME (FIRST & LAST): ___________________________________________________________

PRESENT ADDRESS: _____________________________________________________________

CITY: ________________________________________________________________________

STATE: ________________ ZIP CODE: ________________

TELEPHONE NUMBER: _________________________________________

CELL PHONE NUMBER: _________________________________________

REFERRED BY: _________________________________________________________________

SOCIAL SECURITY NUMBER: _______________________________________________________

LICENSE NUMBER: ______________________________________________________________

POSITION APPLYING FOR: ________________________________________________________

DATE YOU CAN START: ___________________________________________________________

SALARY DESIRED: _______________________________________________________________

CURRENTLY WORKING FOR: _______________________________________________________

LAST TWO ELECTRICAL COMPANY'S THAT YOU WORKED FOR:

_____________________________________________________________________________

_____________________________________________________________________________

DATES YOU WERE EMPOYED BY THEM:

_____________________________________________________________________________

_____________________________________________________________________________

THE REASON YOU LEFT: __________________________________________________________

_____________________________________________________________________________

EDUCATION

HIGH SCHOOL: _________________________________________________________________

TRADE SCHOOL: ________________________________________________________________

COLLEGE: _____________________________________________________________________

EXPLAIN THE TYPE OF ELECTRICAL WORK YOU HAVE PERFORMED:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

REFERENCES

NAME: _______________________________________________________________________

TELEPHONE NUMBER: ___________________________________________________________

NAME: _______________________________________________________________________

TELEPHONE NUMBER: ___________________________________________________________

NAME: _______________________________________________________________________

TELEPHONE NUMBER: ___________________________________________________________

DATE: _______________________________________________________________________

SIGNATURE: __________________________________________________________________