Which location are you applying for? *

Position *

Who referred you for this position?

How would you rate your knowledge of the position you’re applying for? *

How many years of experience do you have in the industry? *

What division (Example: Transmission, Substation, Distribution, Site Work) and how long in each?

Desired Pay *

Date Available *

Do you have the legal right to work in the United States? *

Name *

First

Last

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Emergency Contact Name *

Emergency Contact Number *

Have you been convicted of a felony within the past 7 years?

Please explain

Driver’s License Info

PLEASE INCLUDE ALL OF THE FOLLOWING DETAILS:

Current - Drivers License State
Current - Drivers License Number
Current - Drivers License Type/Class
Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes - No
Have you ever had a license, permit or privilege to operate a motor vehicle revoked? Yes - No
If you answered yes to either of the above 2 questions, please provide explanation below.
Have you had any traffic accidents in the past 3 years? If yes, please provide the information listed below. Yes-No
Date (most recent first)
Nature of Accident (head-on, rear-end, etc.)
Number of Fatalitites?
Number of Injuries?

Education

High School

High School Course of Study

Did you graduate?

Years Completed

Trade School Name

Trade School Course of Study

Did you graduate?

Years Completed

Additional Experience & Certifications

Additional Experience

State any additional information you feel may be helpful to us in considering your application (such as any specialized training; skills; apprenticeships; honors received; professional, trade, business or civic organizations or activities; job-related military training or experience; foreign language abilities; etc.)

Employment Experience

Employer Name *

Employer Address *

Supervisor *

Employer Phone *

May we contact this employer? *

Date Started *

Date Ended *

Hourly Rate/Salary *

Hours Per Week *

How do you think your previous supervisor would rate your work? *

Job Title/Duties

Reason for Leaving

Additional work experience for the past five (5) years *

Resume - Upload

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Education

Additional Experience & Certifications

Employment Experience

Servicing the Construction of Power Substations