All employees are required to work in a smoke-free environment

Last Name       First Name         Middle Initial  

Address              Apt. # 

City       State      ZIP 

Phone       Other Phone     Fax 

Email       Social Security #

Position Desired:

        First Choice Commercial Journeyman Electrician Appliance Technician Residential Journeyman Electrician Electrical Service Technician Master Electrician Apprentice Electrician Electrician Helper Electrical Estimator Garage Door Technician Solar Energy Technician Generator Technician Project Manager Supervisor Office Manager Office Assistant       Experience:  0 1 2 3 4 5 6 to 10 10 to 20 Over 20 years  0 1 2 3 4 5 6 7 8 9 10 11 months

   Second Choice none Appliance Technician Commercial Journeyman Electrician Residential Journeyman Electrician Electrical Service Technician Apprentice Electrician Electricians Helper Master Electrician Electrical Estimator Solar Energy Technician Generator Technician Garage Door Technician Project Manager Supervisor Office Manager Office Assistant       Experience:  0 1 2 3 4 5 6 to 10 10 to 20 Over 20 years  0 1 2 3 4 5 6 7 8 9 10 11 months

Previous Work Experience:  (please begin with current or last employer)

       Company 1        City    State 

       Position        From     To 

       Please describe your duties, responsibilities, and compensation in this position:

       Company 2        City    State 

       Position        From     To 

       Please describe your duties, responsibilities, and compensation in this position:

       Company 3        City    State 

       Position        From     To 

       Please describe your duties, responsibilities, and compensation in this position:

       Company 4        City    State 

       Position        From     To 

       Please describe your duties, responsibilities, and compensation in this position:

Tell us about any other information, such as licenses, certifications, or education, that will help us in evaluating your application: