Employment Application | Carlton Electric, Inc.

NOTICE TO APPLICANTS Our employment practices are in full accord with local, state and federal laws which prohibit discrimination. We do not discriminate because of race, color, religion, age, sex, sexual orientation, national origin, veteran status, membership and activities on behalf of a labor organization, disabilities, ethnicity or any other legally protected status. Important! This employment application will only be valid for five work days from application date. Incomplete applications will not be considered for employment with this company. If a question does not apply to you, enter N/A which means not applicable. Applicants who falsify or omit material information on an application will be disqualified from consideration. If a falsification or omission is discovered after an employee has been hired, the employee will be subject to termination.

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Date of Application

Date Available to Work

Position Applying For

Full Name

Address

Address 2

City/Town

State

Zip

Country

Phone Number

E-mail

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

If Yes, give date

Have you ever been employed with us before?

Yes

If Yes, give date

Are you currently employed?

Yes

May we contact your present employer?

Yes

Are you lawfully authorized to work in the United States? Proof of identity and work authorization will be required upon employment.

Yes

Wage expected

Are you currently on lay-off status and subject to recall?

Yes

Can you travel if the job requires it?

Yes

Have you been convicted of a felony within the last 7 years? Conviction will not necessarily disqualify an applicant from employment.

Yes

If Yes, provide date and nature of the offense

Do you hold a valid driver's license?

Yes

Driver License Number and State

If you were a referral, who referred you to us?

Are you available for overtime?

Yes

Education

High School

College

Other (specify)

If applying for Apprenticeship and Training Program for Electricians, complete the following:

Have you ever served an apprenticeship?

Yes

If Yes, in what craft?

If applying for other position (journeyman, foreman, estimator, etc.) complete the following:

What other position are you applying for?

Years of experience

Are you a licensed electrician?

Yes

If Yes, what license do you hold?

Master

Journeyman

Apprentice

License Number and State

If licensed in a state other than Colorado, do you have a valid Colorado work permit?

Yes

References

Give the names of three persons not related to you, whom you have known at least one year

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	Name	Address	Position	Phone Number	Item weight

Employment Experience

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	Employer	Phone Number	Job Title and Work Performed	Dates Employed	Supervisor	Reason for Leaving	Item weight

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Additional Information

Special Licenses

State any additional information you feel may be helpful to us in considering your application

Note to Applicants: DO NOT ANSWER THESE QUESTIONS UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing, with or without reasonable accomodation, the essential functions of the job for which you have applied?

Yes

If an accommodation is necessary, please explain the accommodation needed

Applicant Statement
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.I understand that this application of employment shall be considered active for a period of time not to exceed five days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time, with or without cause. It is further understood that this at will employment may not be changed by any written document or by conduct unless such changes are specifically acknowledged in writing by an officer of this organization.I understand that incomplete applications will not be considered.In the event of employment, I understand that, if hired, false or misleading information given in my application or interview(s) may result in my discharge. I understand also that I am required to abide by all rules and regulations of the Employer. Any offer of employment tendered to the applicant by this company is conditional and may be contingent upon successful completion of a drug and/or alcohol test and background information.

Today's Date

Applicant Electronic Signature