Online Application It is the policy of Jahn Electric not to discriminate in its employment and personnel practices because of a person's race, color, creed, religion, sex, national origin, age, disability, marital status, sexual orientation, political opinions or affiliation. Jahn Electric is an equal opportunity employer. Position applying for:(required) Date of application(required) Full Name:(required) Primary Phone Number:(required) Secondary Phone Number:(required) Email Address:(valid email required) Interested in (Check one or more): Full Time Part Time Intern Apprentice Program Will Accept (Check one or more): Days Evenings Nights Weekends Rotating Shifts Wage or Salary Requirement: What date are you available to begin working? If hired, can you provide work eligibility documents? Yes No Have you ever worked for Jahn Electric in the past? Yes No Are you at least 16 years of age? Yes No EMPLOYMENT RECORD List last three jobs beginning with most recent job. You may fax a resume, certificate, discharge papers, letters of recommendation or any other documents as part of your application. May we contact your current employer? Yes No Employer's Name: Hire Date: Leave Date: Reason for leaving? Supervisor's Name: Telephone: Position Held: Duties Performed: May we contact this employer? Yes No Employer's Name: Hire date: Leave Date: Reason for leaving? Supervisor's Name: Telephone: Position Held: Duties performed: May we contact this employer? Yes No Employer's Name: Hire Date: Leave Date: Reason for leaving? Supervisor's Name: Telephone: Position Held: Duties performed? May we contact this employer? Yes No Education Record Last grade of school completed? List your education since high school, including collegs, business, technical, trade, correspondance and military service schools. Name Address Major Credits Degree or Certificate CERTIFICATIONS / LICENSES / PROFESSIONAL REGISTRATIONS EXPERIENCE USING HEAVY EQUIPMENT / BUCKET TRUCKS / BACKHOES SPECIALTY SKILLS, UNRELATED TO ELECTRICAL, IN WHICH YOU ARE PROFICIENT DRIVING RECORD Do you have a valid Drivers license? Yes No If Yes, List State Issued In Drivers License Number: Additional Driving Privledges: (Select any that apply.) Class C Class A-CDL Class B-CDL Have you received three (3) or more convictions for moving traffic violations during the last 36 months (3 years)? Yes No Is your driver’s license currently suspended? Yes No Have you received a Driving While Intoxicated (DWI) or Driving Under Influence (DUI) citation during the last 36 months (3 years)? Yes No I understand that if I am selected for a position requiring driver safety training certification, my record will be verified and I will be discharged if the information I have provided is incorrect or incomplete. CONSENT AGREEMENT REVIEW YOUR ANSWERS CAREFULLY AND READ THE FOLLOWING CONSENT AGREEMENT. IF YOU CONSENT, CLICK THE “I AGREE” BUTTON. THE “I AGREE” MUST BE CLICKED IN FOR THIS APPLICATION TO BE ACCEPTED BY JAHN ELECTRIC. I represent and warrant that the answers I have given are full and true to best of my knowledge and belief. I further acknowledge that I have read and understood the questions regarding education, experience, and certifications and that I have answered all questions truthfully. I understand that failure to answer all questions fully and truthfully may result in disqualification or dismissal. Jahn Electric may contact my former employer(s) regarding my employment with them. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release, its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Company policies, rules, procedures, and all other directions pertaining to my employment. I understand that Jahn Electric reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at any time. cforms contact form by delicious:days
