Employment ELECTRICAL - The Marco Companies

Applicant Information

Date*

Name*

First Middle Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

Date Available

Desired Salary

Position Applying for:

Have you ever worked for this company?

Yes
No

If yes, when?

Have you ever been convicted of a felony?

Yes
No

If yes, explain:

Education

High School Attended

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years attended:

Did you graduate?

Yes
No

College Attended

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years attended:

Did you graduate?

Yes
No

References

Please list three professional references.

Name

First Last

Relationship:

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Relationship:

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Relationship:

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Previous Employment

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes
No

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes
No

Company:

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Dates Employed:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes
No

Disclaimer & Signature

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 in my application or interview may result in my release.

Signature:

Date

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Name

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Employment application - ELECTRICAL

Applicant Information

Education

References

Previous Employment

Disclaimer & Signature

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