Electrician Job Application in WA & OR

Applicant Information

Name *

First

Middle

Last

Address *

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Have you ever been employed with us before? *

Yes No

Address

Street Address

City

State / Province / Region

ZIP / Postal Code

Best time to contact you at home is: *

Hours

Position applied for: *

Write-in position

Desired Location: *

How did you hear about us? *

If other, please explain:

Are you over the age of 18 years? *

Yes No

(If no, you may be required to provide authorization to work)

Have you ever filled out an application with us before? *

Yes No

Are you currently employed? *

Yes No

Are you legally eligible to be employed in the United States? *

Yes No

(Proof of identity and eligibility will be required upon employment)

Date available for work *

Are you available to work *

Full-time Part-time Temporary

Are you currently on “Lay-off” status and subject to recall? *

Yes No

Are you open to travel if required by this position? *

Yes No

Education

High School *

Name and Location of School

Course of Study

Number of Years Completed

Diploma / Degree

Trade School

Name and Location of School

Course of Study

Number of Years Completed

Diploma / Degree

Other (Specify)

Name and Location of School

Course of Study

Number of Years Completed

Diploma / Degree

College

Name and Location of School

Course of Study

Number of Years Completed

Diploma / Degree

Additional employment history (if applicable)

List professional, trade, business, or civic activities and offices held.

You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.

References

Name

Phone

Company (if applicable) Position

Years Known

Applicant's Statement

Digital Signature of Applicant *

Date *