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Join Our Team
Personal Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip Code
*
Phone
*
Email Address
*
Date Of Birth:
*
Position Applying For
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Journeyman Electrician
Electrician Helper
CDL Driver/Laborer for Oilfield
Generator Technician
Security Technician
Retail
Are you legally authorized to work in the United States?
*
Yes
No
Do you have a valid driver's license?
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Yes
No
If so, what is your drivers license number? By providing your driver's license number, you grant P & S Electric, Inc permission to run your number to verify validity and insurability.
*
Have you ever been convicted of a felony?
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Yes
No
If yes, please explain.
Employment History
Employer 1
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 2
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 3
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
References
Reference 1
Name
Title
Email Address
Phone
Reference 2
Name
Title
Email Address
Phone
Reference 3
Name
Title
Email Address
Phone
Additional Skills
List any additional skills that you would like to mention.
Please submit a copy of your resume.
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