CEC Employment Application Form

Date(*)
First Name(*)
Last Name(*)
Address(*)
City(*)
State(*)
Zip(*)
Home Phone(*)
Cell Phone
Email
Position Applied for(*)
Are you a citizen of the United States?(*) YesNo
If you are NOT a citizen of this country,(Do you have work papers)? YesNo
Do you have a valid Georgia Driver License?(*) YesNo

EDUCATION

Please record your education below
Note name of school and location.

Do you have a High School Diploma?(*) YesNo
Do you have a College Degree?(*) YesNo

PREVIOUS EMPLOYMENT AND REFERENCES

(Give in chronological order beginning with most recent position)

Present or last employer:
Name of firm:
Dates Employed
Address:
Position(s) held:

Previously employed by:
Name of firm:
Dates Employed
Address:
Position(s) held:
Summarize electrical skills including number of people supervised (if any), etc.:
Personal references-Please give the names and addresses of two persons to who you are not related.
Full Name(*)
Phone #(*)

----------------------------

Full Name(*)
Phone #(*)
Who recommended you to us? (Person/Ad/Agency)(*)

I certify that answers given herein are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matters are may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I give permission for Caldwell Electrical Contractors to contact me by text and any other means of communication.

Signature of applicant(*)
Date(*)
SALARY DESIRED:(*)
Resume
Please verify you are a human,(*)