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Application

Applicant Information

Position Applied For *

Journeyman Electrician
Residential Electrician
Apprentice Electrician
Service Technician – Commercial & Residential
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Date *

First Name *

Last Name *

Date of birth *

Date Available to Start *

Address

Street Address

City *

State *

Country *

Country

Postal code *

Phone *

Email *

Preferred Contact Method: *

Preferred Contact Method:

Phone
Email
SMS
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Eligibility

Are you a U.S. citizen? *

Yes

No

Have you worked for Calvin Electric before? *

Yes

No

If not, are you authorized to work in the U.S.? *

Yes

No

If yes, when?

Have you been convicted of a felony? *

Yes

No

If yes, please explain

Education

School Name *

School Address *

From Date

To Date

Did you graduate? *

Yes

No

Diploma/Degree Earned

References

Reference 1 - Full Name *

Reference 1 - Relationship *

Reference 1 - Company *

Reference 1 - Phone Number *

Reference 1 - Address

Reference 2

Reference 2 - Full Name *

Reference 2 - Relationship *

Reference 2 - Company *

Reference 2 - Phone Number *

Reference 2 - Address

Reference 3

Reference 3 - Full Name *

Reference 3 - Relationship *

Reference 3 - Company *

Reference 3 - Phone Number *

Reference 3 - Address

Previous Employment

Employment 1 - Company Name *

Employment 1 - Phone Number *

Employment 1 - Address

Employment 1 - Job Title *

Employment 1 - Supervisor Name *

Employment 1 - Starting Salary ($)

Employment 1 - Ending Salary ($)

Employment 1 - Responsibilities *

Employment 1 - From Date *

Employment 1 - To Date *

Employment 1 - Reason for Leaving *

Employment 1 - May We Contact? *

Yes

No

Previous Employment 2

Employment 2 - Company Name

Employment 2 - Phone Number

Employment 2 - Address

Employment 2 - Supervisor Name

Employment 2 - Job Title

Employment 2 - Starting Salary ($)

Employment 2 - Ending Salary ($)

Employment 2 - Responsibilities

Employment 2 - From Date

Employment 2 - To Date

Employment 2 - Reason for Leaving

Employment 2 - May We Contact?

Yes

No

Previous Employment 3

Employment 3 - Company Name

Employment 3 - Phone Number

Employment 3 - Address

Employment 3 - Supervisor Name

Employment 3 - Job Title

Employment 3 - Starting Salary ($)

Employment 3 - Ending Salary ($)

Employment 3 - Responsibilities

Employment 3 - From Date

Employment 3 - To Date

Employment 3 - Reason for Leaving

Employment 3 - May We Contact?

Yes

No

Military Service (Optional)

Military - From Date

Military - Branch

Military - To Date

Military - Rank at Discharge

Military - Type of Discharge

Military - If Other Than Honorable

Acknowledgment

Disclaimer
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information may result in my release.
Calvin Electric LLC is an Equal Opportunity Employer and uses the E-Verify System.

I agree to the above disclaimer *

"I agree to the terms and certify that the information provided is true and complete."

Applicant Name (Signature) *

Application Date *

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