Electrical Pros Inc
Employment Application
Personal Information
Last name
 Middle initial
 Social Security
First name
City
 Zip
Current Address
 State
Zip
Permanent address
 City
State
Cell phone number
Are you 18 or older?
Home Phone Number
Desired Employment
Position applying for
 Salary desired
Date you can start
Are you currently
employed?
If so, may we contact
your employer?
Reason for seeking new employment
Name of present supervisor
Number where he/she can be reached
Have you applied with us before?
 If so, when?
Have you
worked for us?
If so, when?
 Reason for leaving
Education
Did you graduate?
Number of Years
attended
High School
College
Technical or Trade school
Other educational establishments
relevant to job applying for.
General Achievements
Diplomas, Certificates, or awards
Special skills training
Acquired skills relevant to job applying for
Employment History
Please give the employers over the last 5 years only.
Dates worked from/to
Name of previous employer
1
State
Zip
City
Address
Job Title and description
Starting salary
Final salary
Phone number where
he/she can be reached.
May we contact
your supervisor?
His or her name
 Title
Dates worked from/to
Name of previous employer
 2
Address
Zip
City
State
Job Title and description
Starting salary
Final salary
May we contact
your supervisor?
Phone number where
he/she can be reached.
Title
His or her name
Dates worked from/to
Name of previous employer
 3
Zip
Address
 City
State
Starting salary
Final salary
 Job Title and description
Phone number where
he/she can be reached.
May we contact
your supervisor?
Title
His or her name
References
Please list three references who are not your family that you have known at least 1 year.
First Name
Last Name
Phone Number
Military service
Branch of Service
Discharge rank
Discharge type and date
Additional Military information:  MOS, awards, certificates, etc..
Have you ever been convicted of a crime?
If yes please explain, will not necessarily exclude you from consideration.
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that , if
employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and
all information concerning my previous employment and any pertinent information they may utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for
employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and
signed by an authorized company representative."
Electronic Signature
Date