Employment - Legendary Electric

Full name:

First Middle Last

Date:

Address:

Street address Apt/Unit # City State Zip Code

Phone:

Date Available:

Desired salary:

Position

Do you have any friends or relatives that work for Legendary Electric

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for this company?

Yes

If yes, when?

Have you ever been convicted of a felony?

Yes

If yes, explain?

Education

High school:

Address:

From:

To:

Did you graduate?

Yes

Diploma:

College:

Address:

From:

To:

Did you graduate?

Yes

Degree:

Other:

Address:

From:

To:

Did you graduate?

Yes

Degree:

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

Previous Employment

Company:

Phone:

Address:

Supervisor:

Job title:

From:

To:

Responsibilities:

May we contact your previous supervisor for a reference?

Yes

Military Service

Branch:

From:

To:

Rank at discharge:

Type of discharge:

If other than honorable, explain:

Disclaimer and 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.

Legendary Electric is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Signature:

Date

EMPLOYMENT APPLICATION

Education

Job Skills/Qualifications

Previous Employment

Military Service

Disclaimer and signature

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Contact

Phone

Email

Address