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REQUEST
SERVICE
Application
Applicant Information
Step
1
of
4
25%
Applicant Information
Name
(Required)
First
Middle
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
Enter your phone number
(Required)
Have you ever been employed with us before?
(Required)
Yes
No
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Best time to contact you at home is:
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Position applied for:
(Required)
Select One
Journeyman Electrician
Apprentice Electrician
Material Handler
Warehouse
Equipment Operator
Electrical BIM Designer
Accounting
Panel Shop
Prefab
Mechanic
Write-in
Write-in position
Desired Location:
(Required)
Select One
Vancouver
Tri-Cities
How did you hear about us?
(Required)
Select One
Newspaper (N)
Job Fair (F)
Apprenticeship Program (A)
Company Employee (E)
Placement Office (P)
Internet Job Board (B)
Website (W)
Other (O)
If other, please explain:
Are you over the age of 18 years?
(Required)
Yes
No
(If no, you may be required to provide authorization to work)
Have you ever filled out an application with us before?
(Required)
Yes
No
Are you currently employed?
(Required)
Yes
No
Are you legally eligible to be employed in the United States?
(Required)
Yes
No
(Proof of identity and eligibility will be required upon employment)
Date available for work
(Required)
MM slash DD slash YYYY
Are you available to work
(Required)
Full-time
Part-time
Temporary
Are you currently on “Lay-off” status and subject to recall?
(Required)
Yes
No
Are you open to travel if required by this position?
(Required)
Yes
No
Education
High School
(Required)
Name and Location of School
Course of Study
Number of Years Completed
Diploma / Degree
Add
Remove
Trade School
Name and Location of School
Course of Study
Number of Years Completed
Diploma / Degree
Add
Remove
Other (Specify)
Name and Location of School
Course of Study
Number of Years Completed
Diploma / Degree
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Remove
College
Name and Location of School
Course of Study
Number of Years Completed
Diploma / Degree
Add
Remove
Licensing Information (Please check all that apply):
(Required)
Valid Driver’s License
CDL Class A
WA General Journeyman
OR General Journeyman
WA Residential Journeyman
OR Residential Journeyman
JATC Apprentice*
EMG Apprentice*
WA Trainee
First Aid CPR- Certified
Other*
JATC Apprentice Licensing Year
Select One
1st Year
2nd Year
3rd Year
4th Year
EMG Apprentice Licensing Year
Select One
1st Year
2nd Year
3rd Year
4th Year
Other, please specify
Describe any specialized training, apprenticeship, skills, or extra-curricular activities related to the position you're applying for.
Employment Experience
Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.
Employer 1
Employer
(Required)
Address
(Required)
Telephone Number(s)
(Required)
Job Title
(Required)
Supervisor
(Required)
Dates Employeed
(Required)
Reason for Leaving
(Required)
Employer 2
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Dates Employeed
Reason for Leaving
Employer 3
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Dates Employeed
Reason for Leaving
Employer 4
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Dates Employeed
Reason for Leaving
Additional Employment Information
Additional employment history (if applicable)
List professional, trade, business, or civic activities and offices held.
You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.
References
References
Name
Phone
Company (if applicable) Position
Years Known
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Applicant's Statement
I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 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 this 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. 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 employer.
Digital Signature of Applicant
(Required)
Date
(Required)
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
52339