A & W Electric Co., Inc.

Employment

"THE ELECTRICIANS, DON AND JOE THAT CAME TO OUR HOME FOR ELECTRICAL REPAIRS AS A RESULT OF A TORNADO THAT HIT OUR HOME WERE THE MOST EFFICIENT WORKERS...more"
- M. JENNINGS

Application For Employment:
Indicates Required Field

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or verteran status, or any other legally protected status.

Failure to complete the application form in its entirety will be deemed an incomplete application and may not be given further consideration.

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email:

Best time to contct you at home:

What position are you applying for? Electrician: Yes No
Helper: Yes No
Other/Explain:

What is your desired salary range?

If you are under 18 years of age, can you provide
required proof of your eligibility to work? Yes No

Have you ever filed an application with us before? Yes No

If Yes, give date:

Have you ever been employed with us before? Yes No

If Yes, give date:

Do any of your friends or relatives,
other than spouse, work here? Yes No

Are you currently employed? Yes No

May we contact your present employer? Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment Yes No

Are you currently on "lay-off" status and subject to recall? Yes No

Can you travel if a job requires it? Yes No

Have you been convicted of a
felony within the last five years?
A criminal record does not constitute an automatic bar to employment and will be considered only as it relates to the job in question. Yes No

Do you have a clean driving record? Yes No

| | | | | | | |